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NPI Code Detail

MEDICARE: KAMRAN R. KHAN D.O.

MEDICARE: KAMRAN R. KHAN D.O.
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
1207Q00000XFamily Medicine PhysicianDO1779NV
2390200000XStudent in an Organized Health Care Education/Training Program
3208M00000XHospitalist PhysicianDO1779NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629394085
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAMRAN R. KHAN D.O.
Provider Business Mailing Address
First Line : 1180 N TOWN CENTER DR STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-6308
Country : US
Telephone Number : 702-202-2060
Fax Number : 702-605-2892
Provider Business Practice Location Address
First Line : 1180 N TOWN CENTER DR STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-6308
Country : US
Telephone Number : 702-202-2060
Fax Number : 702-605-2892
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2010
Last Update Date : 03/12/2025

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Directions to “ KAMRAN R. KHAN D.O.” Practice Location

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