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NPI Code Detail

MEDICARE: TAHIR KHAN

MEDICARE: TAHIR KHAN
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
1208M00000XHospitalist Physician35.136408OH
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1629431374
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAHIR KHAN
Provider Business Mailing Address
First Line : 3868 MCMANN RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45245-2306
Country : US
Telephone Number : 513-843-7632
Fax Number : 513-718-3223
Provider Business Practice Location Address
First Line : 2155 DANA AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45207-1340
Country : US
Telephone Number : 513-601-0600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2016
Last Update Date : 12/16/2025

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Directions to “ TAHIR KHAN ” Practice Location

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