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General NPI Number Information
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NPI Number | 1952344301
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Entity Type | Individual
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Provider Name | QAISAR M KHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 805 E 144TH AVE STE 100
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City | THORNTON
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State | CO
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Zip | 80023-9210
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Country | US
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Telephone | 720-772-8040
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Fax | 720-805-1551
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Provider Business Mailing Address
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Address Line | 805 E 144TH AVE STE 100
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City | THORNTON
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State | CO
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Zip | 80023-9210
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Country | US
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Telephone | 720-772-8040
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Fax | 720-805-1551
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | E4537
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License Number State | AR
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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 | DR.0051263
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License Number State | CO
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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 | DR.0051263
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License Number State | CO
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