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Individual
NADIA KHAN
Active
Individual
NADIA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036114987
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114987
—
IL
01
—
920540
MEDICARE PTAN (GROUP)
IL
01
—
920540018
MEDICARE PTAN (INDIVIDUAL)
IL
01
—
P01138107
RAILROAD MEDICARE (PROVIDER PTAN)
IL
Enumeration date
09/28/2006
Last updated
12/05/2013
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