Individual
DR. KALSOOM KAUSAR KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4506 S MIAMI BLVD STE 150, DURHAM, NC 27703-5077
(919) 477-0047
(919) 477-6919
Mailing address
4506 S MIAMI BLVD STE 150, DURHAM, NC 27703-5077
(919) 477-0047
(919) 477-6919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200401242
NC
207RX0202X
Medical Oncology Physician
Primary
200401242
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376N
BCBS NC
NC
01
—
200401242
MEDICAL LICENSE
NC
01
—
7285407
AETNA
NC
01
—
805845
PARTNERS MEDICARE
NC
05
—
891376N
—
NC
01
—
D7717
MEDCOST
NC
Enumeration date
05/18/2006
Last updated
11/24/2015
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