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General NPI Number Information
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NPI Number | 1366002487
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Entity Type | Individual
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Provider Name | HASAN A KHAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/20/2019
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 305 S STATE ST
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City | ABERDEEN
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State | SD
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Zip | 57401-4590
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Country | US
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Telephone | 605-622-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 305 S STATE ST
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City | ABERDEEN
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State | SD
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Zip | 57401-4590
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Country | US
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Telephone | 605-622-5549
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Fax | 409-772-7120
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 17407
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 22575
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 22575
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License Number State | ND
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Taxonomy #4
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 17407
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License Number State | SD
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