Individual
SOPHIA JANJUA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4205 MCAULEY BLVD STE 375, OKLAHOMA CITY, OK 73120
(405) 749-4247
(405) 749-4249
Mailing address
4205 MCAULEY BLVD STE 375, OKLAHOMA CITY, OK 73120-9309
(405) 749-4247
(405) 749-4249
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
01051448
IN
207RG0100X
Gastroenterology Physician
Primary
28637
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200220940A
—
IN
Enumeration date
02/02/2006
Last updated
07/19/2018
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