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NPI Code Detail

MEDICARE: HIBA HASAN KHAN DO

MEDICARE: HIBA HASAN KHAN DO
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
1390200000XStudent in an Organized Health Care Education/Training ProgramK09891070KY

General Provider Information

NPI Number : 1538003678
Entity Type Code : Individual
Provider Name (Legal Business Name) : HIBA HASAN KHAN DO
Provider Business Mailing Address
First Line : 4777 E GALBRAITH RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2725
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4777 E GALBRAITH RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2725
Country : US
Telephone Number : 513-686-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2026
Last Update Date : 04/17/2026

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Directions to “ HIBA HASAN KHAN DO” Practice Location

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