Individual
DR. AHMAD AFTAB KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 1E50, NEWARK, DE 19718-4660
(302) 733-1980
(302) 733-1986
Mailing address
PO BOX 950248, LOUISVILLE, KY 40295-0248
(502) 489-5730
(502) 489-5753
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
22795
WV
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
1074898A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
22795
WV
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
C1-0026327
DE
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
TP160
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942385950
GROUP MEDICAID
WV
05
—
3810010862
—
WV
01
—
9154261
GROUP MEDICARE
WV
Enumeration date
08/01/2007
Last updated
10/23/2023
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