Individual
FATIMA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
Mailing address
PO BOX 251420, LITTLE ROCK, AR 72225-1420
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-14434
AR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
E-14434
AR
208M00000X
Hospitalist Physician
2015-01457
NC
208M00000X
Hospitalist Physician
S3209
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1F7843
MEDICARE
TX
Enumeration date
01/07/2014
Last updated
08/31/2021
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