Individual
KHAN MATIN
Active
Individual
KHAN MATIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22483
KY
2084P0800X
Psychiatry Physician
35050198
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005355002
—
WV
05
—
0114374000
—
WV
01
—
0519303
MEDICARE PTAN # - PATHWAYS, INC.
KY
05
—
0806677
—
OH
01
—
11101867
CAQH
—
01
—
1669101
INDIVIDUAL MEDICARE PTAN
KY
01
—
1982615043
PATHWAYS GROUP NPI #
KY
01
—
260031769
PALMETTO GPA RR MEDICARE
—
05
—
30610026
—
KY
01
—
3402033
ASHLAND HOSPITAL CORP (KDMC) MEDICARE PTAN
KY
05
—
64224835
—
KY
Enumeration date
07/30/2006
Last updated
11/07/2014
Update your record
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