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General NPI Number Information
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NPI Number | 1982865671
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Entity Type | Individual
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Provider Name | KHURAM A. KHAN DO.
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Gender | Male
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 732 S 6TH ST STE N
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City | LAS VEGAS
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State | NV
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Zip | 89101-6948
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Country | US
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Telephone | 305-450-4103
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Fax |
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Provider Business Mailing Address
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Address Line | 7957 N UNIVERSITY DR # 110
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City | PARKLAND
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State | FL
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Zip | 33067-2601
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Country | US
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Telephone | 305-450-4103
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 248933-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | OS11723
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License Number State | FL
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