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Individual
AMTULLAH KHAN
Active
Individual
AMTULLAH KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
27622
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000220075
ANTHEM PIN
KY
01
—
043623469
HUMANA PIN
KY
01
—
2400015
UNITED HEALTHCARE PIN
KY
05
—
64276223
—
KY
Enumeration date
07/29/2005
Last updated
05/21/2012
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