Individual
DR. MATHEEN K KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8121 NATIONAL AVE, SUITE 401, MIDWEST CITY, OK 73110-7530
(405) 732-6223
(405) 741-0414
Mailing address
8121 NATIONAL AVE, SUITE 401, MIDWEST CITY, OK 73110-7530
(405) 732-6223
(405) 741-0414
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
13271
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295764629
BLUE CROSS BLUE SHIELD
OK
05
—
1295764629
—
OK
Enumeration date
06/30/2006
Last updated
04/18/2008
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