Individual
DR. ARIF BASIR KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 N CENTRAL EXPY, SUITE 171, RICHARDSON, TX 75080-2754
(972) 952-0290
Mailing address
PO BOX 650823, DALLAS, TX 75265-0823
(972) 952-0290
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
L5788
TX
208VP0014X
Interventional Pain Medicine Physician
Primary
L5788
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8J1500
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/17/2006
Last updated
01/27/2021
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