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Individual

DR. AHSAN Y KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107-6437
(405) 858-1700
Mailing address
PO BOX 12978, OKLAHOMA CITY, OK 73157-2978

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2010028278
MO
2084P0800X
Psychiatry Physician
Primary
28725
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100373000A
MO
Enumeration date
06/16/2005
Last updated
03/17/2018
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