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NPI Code Detail

MEDICARE: DR. NAZIM KHAN MD

MEDICARE: DR. NAZIM KHAN MD
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
1207RC0000XCardiovascular Disease Physician9900079NC
2207RI0011XInterventional Cardiology Physician9900079NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11178XOTHERNCBCBS NC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841274545
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NAZIM KHAN MD
Provider Business Mailing Address
First Line : 2406 BLUE RIDGE RD
Second Line : SUITE 150
City : RALEIGH
State : NC
Zip : 27607-6678
Country : US
Telephone Number : 919-782-8303
Fax Number : 919-782-8302
Provider Business Practice Location Address
First Line : 2406 BLUE RIDGE RD
Second Line : SUITE 150
City : RALEIGH
State : NC
Zip : 27607-6678
Country : US
Telephone Number : 919-758-8303
Fax Number : 919-782-8302
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 12/26/2012

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