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Individual
DR. MIRKUTUB M. KHAN
Active
Individual
DR. MIRKUTUB M. KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
77-199
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00023176
—
NM
01
—
253823
AHCCCS
NM
01
—
920003012
MEDICARE RAILROAD
NM
Enumeration date
06/13/2005
Last updated
10/01/2015
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