Individual
TARIQ ASADULLAH KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4221 S WESTERN AVE STE 5020, OKLAHOMA CITY, OK 73109-3445
(405) 768-5904
Mailing address
4221 S WESTERN AVE STE 5020, OKLAHOMA CITY, OK 73109-3445
(405) 768-5904
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
2004009683
MO
207RN0300X
Nephrology Physician
Primary
33459
OK
Other
Enumeration date
12/06/2006
Last updated
05/01/2024
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