Individual
USMAN ALI KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
428 S DURBIN ST STE 104, CASPER, WY 82601
(307) 337-4284
Mailing address
428 S DURBIN ST STE 104, CASPER, WY 82601-2829
(646) 491-2282
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
11625A
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/18/2010
Last updated
08/21/2018
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