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General NPI Number Information
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NPI Number | 1508834599
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Entity Type | Individual
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Provider Name | MAHBOOB ALI KHAN MD
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Gender | Male
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 3571 W WHEATLAND RD STE 101
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City | DALLAS
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State | TX
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Zip | 75237-3461
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Country | US
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Telephone | 972-274-5555
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Fax | 972-274-5563
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Provider Business Mailing Address
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Address Line | 3571 W WHEATLAND RD STE 101
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City | DALLAS
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State | TX
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Zip | 75237-3461
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Country | US
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Telephone | 972-274-5555
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Fax | 972-274-5563
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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 | MD426847
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License Number State | PA
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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 | 28163
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | Q4160
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 35.095158
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD426847
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | Q4160
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License Number State | TX
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