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General NPI Number Information
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NPI Number | 1245492263
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Entity Type | Individual
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Provider Name | MOHAMMAD ASIM KHAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 02/07/2026
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Provider Practice Location Address
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Address Line | 3080 REVERENCE HEIGHTS LN
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City | LAS VEGAS
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State | NV
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Zip | 89138-6206
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Country | US
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Telephone | 702-277-5709
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Fax |
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Provider Business Mailing Address
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Address Line | 304 S JONES BLVD # 363
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City | LAS VEGAS
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State | NV
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Zip | 89107-2623
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Country | US
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Telephone | 702-277-5709
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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 | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number | C186409
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 16223
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License Number State | NV
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