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Individual
DR. ABDUL LATEEF KHAN
Active
Individual
DR. ABDUL LATEEF KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
S2366
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053554
—
LA
01
—
1457349474
NPI
TX
05
—
157937001
—
AR
01
—
2253429404
CDS
LA
01
—
5N252
BCBS
AR
01
—
E 4423
STATE LICENSE
AR
01
—
LA 200396
STATE LICENSE
LA
Enumeration date
10/12/2005
Last updated
12/28/2023
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