Individual
DR. JEHANZEB KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1321 RING RD, SUITE 105, ELIZABETHTOWN, KY 42701-8940
(270) 986-7372
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2025005270
MO
2085R0202X
Diagnostic Radiology Physician
Primary
40954
KY
2085U0001X
Diagnostic Ultrasound Physician
ME94876
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000535586
ANTHEM BCBS
KY
01
—
50016512
PASSPORT
KY
Enumeration date
07/26/2006
Last updated
04/18/2025
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