Individual
ANSAR U KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2735 N CLARKSON ST, FREMONT, NE 68025
(402) 727-5000
(402) 727-5055
Mailing address
2735 N CLARKSON ST, FREMONT, NE 68025
(402) 727-5000
(402) 727-5055
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
15471
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47063180113
—
NE
Enumeration date
01/10/2006
Last updated
05/13/2014
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