Individual
NISAR KHAN
Active
Individual
NISAR KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
MD475877
PA
2083P0901X
Public Health & General Preventive Medicine Physician
MD475877
PA
Other
Enumeration date
04/25/2018
Last updated
06/18/2026
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