Individual
AMEER A KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1890 W GAUTHIER RD STE 155, LAKE CHARLES, LA 70605-7119
(337) 480-5550
(337) 480-5568
Mailing address
PO BOX 122539 DEPT 2539, DALLAS, TX 75312-0001
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD203860
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005991
—
LA
01
—
MD.203860
STATE LICENSE
LA
Enumeration date
07/25/2007
Last updated
04/28/2022
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