# DR. ABDUL LATEEF KHAN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457349474
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | S2366 | TX | Yes |

## Other

- **Enumeration date:** 10/12/2005
- **Last updated:** 12/28/2023

## 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 |