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General NPI Number Information
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NPI Number | 1255598116
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Entity Type | Organization
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Legal Business Name | KHAN RADIOLOGY SERVICES PLLC
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 1804 SPARROW CT
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-9488
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Country | US
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Telephone | 270-317-2517
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Fax |
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Provider Business Mailing Address
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Address Line | 1804 SPARROW CT
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-9488
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Country | US
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Telephone | 270-317-2517
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAHANZEB KHAN
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Credential | M.D.
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Telephone | 270-317-2517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 40954
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License Number State | KY
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