MEDICARE: KANZA 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
1	207R00000X	Internal Medicine Physician	35.154735	OH

General Provider Information

NPI Number	:	1396471306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KANZA KHAN MBBS

Provider Business Mailing Address
First Line	:	PO BOX 7527
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43017-0727
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2222 WELCOME PL
Second Line	:
City	:	BEXLEY
State	:	OH
Zip	:	43209-7813
Country	:	US
Telephone Number	:	614-533-6800
Fax Number	:	614-338-8735

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2022
Last Update Date	:	10/08/2025

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