# VALLEY VASCULAR KHAN PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891254439
- **Authorized official:** JOSEPH HEWETT MD (ADMINISTRATOR)
- **Authorized official phone:** (801) 386-4240

## Contact information

- **Practice address:** 5785 S FORT APACHE RD STE B, LAS VEGAS, NV 89148-5629
- **Practice address phone:** (801) 386-4240
- **Mailing address:** 5785 S FORT APACHE RD STE B, LAS VEGAS, NV 89148-5629
- **Mailing address phone:** (801) 386-4240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 03/13/2019
- **Last updated:** 03/13/2019