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NPI Code Detail

MEDICARE: AFTAB M KHAN MD

MEDICARE: AFTAB M KHAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianMD434527PA
22084P0800XPsychiatry PhysicianMD32989AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MD434527OTHERPAMEDICAL LICENSE

General Provider Information

NPI Number : 1003075516
Entity Type Code : Individual
Provider Name (Legal Business Name) : AFTAB M KHAN MD
Provider Business Mailing Address
First Line : 2201 JACK WARNER PKWY
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35401-1090
Country : US
Telephone Number : 205-343-9090
Fax Number : 205-860-6332
Provider Business Practice Location Address
First Line : 2201 JACK WARNER PKWY
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35401-1090
Country : US
Telephone Number : 205-343-9090
Fax Number : 205-860-6332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2008
Last Update Date : 12/20/2023

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