Individual
KHALID Y. KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
141 N ROADRUNNER PKWY, SUITE 137, LAS CRUCES, NM 88011-2006
(575) 522-1974
Mailing address
141 N ROADRUNNER PKWY, SUITE 137, LAS CRUCES, NM 88011-2006
(575) 522-1974
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
93-85
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020053292
RR MEDICARE
—
05
—
06866
—
NM
01
—
202000493
PRESBYTERIAN HEALTH
NM
01
—
NM009B74
BCBS & HMO OF NM
NM
Enumeration date
03/24/2006
Last updated
04/11/2019
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