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NPI Code Detail

MEDICARE: LUBNA KHAN M.D.

MEDICARE: LUBNA KHAN M.D.
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
1207L00000XAnesthesiology Physician036.119733IL

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 : 1770531360
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUBNA KHAN M.D.
Provider Business Mailing Address
First Line : 1463 LANTERN CIR
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-8333
Country : US
Telephone Number : 248-346-7125
Fax Number :
Provider Business Practice Location Address
First Line : 301 MADISON ST
Second Line : SUITE 306
City : JOLIET
State : IL
Zip : 60435-6549
Country : US
Telephone Number : 815-725-6331
Fax Number : 815-725-4709
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 08/09/2009

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