Individual
HIMAD ULLAH KHAN KHATTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5275 STATE ROUTE 122 STE 200, FRANKLIN, OH 45005-9617
(513) 217-6400
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008014651
MO
207R00000X
Internal Medicine Physician
35123560
OH
207RC0000X
Cardiovascular Disease Physician
Primary
35.123560
OH
208M00000X
Hospitalist Physician
2008014651
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119424
—
OH
Enumeration date
06/03/2008
Last updated
01/20/2026
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