Individual
DR. ABDUL NASIR KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 W HIGHWAY 82, GAINESVILLE, TX 76240-2524
(580) 223-8614
(580) 223-2561
Mailing address
PO BOX 637, ARDMORE, OK 73402
(580) 223-8614
(580) 223-2561
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
20569
OK
207RN0300X
Nephrology Physician
Primary
K8251
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029932302
—
TX
05
—
100178120A
—
OK
01
—
K8251
TX MEDICAL LICENSE
TX
01
—
P99741272
RR MEDICARE TX
TX
Enumeration date
11/18/2005
Last updated
06/25/2024
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