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Individual

DR. GHAZALI ATAULLAH KHAN

Active
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Individual

DR. GHAZALI ATAULLAH KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
025977
TN
207RN0300X
Nephrology Physician
025977
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3086308
TN
01
4031195
BCBS
TN
Enumeration date
04/28/2006
Last updated
11/07/2007
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