Individual
MASOOD KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 W 42ND ST, SCOTTSBLUFF, NE 69361-4669
(308) 630-1811
(308) 630-1838
Mailing address
2 W 42ND ST, SCOTTSBLUFF, NE 69361-4669
(308) 630-1811
(308) 630-1838
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21499
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21499
STATE LICENSE
NE
Enumeration date
07/31/2006
Last updated
07/08/2007
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