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General NPI Number Information
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NPI Number | 1245469287
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Entity Type | Individual
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Provider Name | ZEESHAN KHAN MD
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Gender | Male
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Dates
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Enumeration Date | 07/13/2009
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Last Update Date | 06/04/2020
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Provider Practice Location Address
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Address Line | 4221 S WESTERN AVE STE 2010
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City | OKLAHOMA CITY
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State | OK
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Zip | 73109-3445
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Country | US
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Telephone | 54-644-5120
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Fax | 405-644-5309
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Provider Business Mailing Address
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Address Line | 5401 N PORTLAND AVE STE 410
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-2131
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Country | US
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Telephone | 405-271-5963
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 27098
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 27098
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 27098
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License Number State | OK
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