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Individual

DR. HIDAYAT KHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
D0023240
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
K347
BLUECROSS BLUESHIELD OF M
MD
Enumeration date
02/21/2006
Last updated
11/29/2011
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