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General NPI Number Information
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NPI Number | 1174485783
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Entity Type | Organization
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Legal Business Name | KHAN PHYSICIAN SERVICES PLLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 14812 LOST FALLS WAY
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City | OKLAHOMA CITY
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State | OK
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Zip | 73142-8505
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Country | US
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Telephone | 860-918-6024
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Fax | 305-845-7394
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Provider Business Mailing Address
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Address Line | 14812 LOST FALLS WAY
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City | OKLAHOMA CITY
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State | OK
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Zip | 73142-8505
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Country | US
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Telephone | 860-918-6024
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Fax | 305-845-7394
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Authorized Official
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Title or Position | MD/PRESIDENT
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Name | MR. AWAAD KHAN
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Credential | MD
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Telephone | 860-918-6024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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