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NPI Code Detail

MEDICARE: DR. JEHANZEB KHAN MBBS

MEDICARE: DR. JEHANZEB KHAN MBBS
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
12085R0202XDiagnostic Radiology Physician35.091651OH
22085R0202XDiagnostic Radiology Physician40954KY
32085U0001XDiagnostic Ultrasound PhysicianME94876FL
42085R0202XDiagnostic Radiology Physician2025005270MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000535586OTHERKYANTHEM BCBS
250016512OTHERKYPASSPORT

General Provider Information

NPI Number : 1164445417
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEHANZEB KHAN MBBS
Provider Business Mailing Address
First Line : PO BOX 80690
Second Line :
City : CANTON
State : OH
Zip : 44708-0690
Country : US
Telephone Number : 330-363-7444
Fax Number : 330-363-7770
Provider Business Practice Location Address
First Line : PO BOX 80690
Second Line :
City : CANTON
State : OH
Zip : 44708-0690
Country : US
Telephone Number : 330-363-7444
Fax Number : 330-363-7770
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/01/2026

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