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NPI Code Detail

MEDICARE: TAUSEEF A KHAN M.D.

MEDICARE: TAUSEEF A 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
1207RC0000XCardiovascular Disease Physician35360IA

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 : 1972585610
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAUSEEF A KHAN M.D.
Provider Business Mailing Address
First Line : PO BOX 583
Second Line :
City : DES MOINES
State : IA
Zip : 50302-0583
Country : US
Telephone Number : 563-589-2557
Fax Number : 563-589-2665
Provider Business Practice Location Address
First Line : 350 N GRANDVIEW AVE
Second Line : SUITE 2145
City : DUBUQUE
State : IA
Zip : 52001-6388
Country : US
Telephone Number : 563-589-2557
Fax Number : 563-589-2665
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 01/21/2014

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