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Individual

AHTARAM M KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4002 W PARK BLVD, PLANO, TX 75093-3839
(972) 985-8000
(972) 985-0050
Mailing address
PO BOX 262129, PLANO, TX 75026-2129
(972) 985-8000
(972) 985-0050

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MDL1628
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0051HA
BLUE CROSS BLUE SHIELD
TX
05
157616701
TX
Enumeration date
08/29/2006
Last updated
03/24/2012
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