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Individual
DR. OMAR ALI KHAN
Active
Individual
DR. OMAR ALI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2007-0423
NM
207Q00000X
Family Medicine Physician
Primary
MD2009-0771
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
YIH843397355
BLUE CROSS BLUE SHIELD
NM
Enumeration date
08/01/2007
Last updated
01/17/2011
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