Healthcare Provider Details

I. General information

NPI: 1720417793
Provider Name (Legal Business Name): ZUBAIR AHMED KHAN M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2013
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N BUFFALO DR STE 100
LAS VEGAS NV
89145-0397
US

IV. Provider business mailing address

801 S RANCHO DR STE E6
LAS VEGAS NV
89106-3812
US

V. Phone/Fax

Practice location:
  • Phone: 702-240-6482
  • Fax:
Mailing address:
  • Phone: 702-240-6482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number36576
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number36576
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number82583
License Number StateAZ
# 4
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberW6485
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: