Individual
DR. AHSAN ULLAH KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(708) 315-0511
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
31028
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/24/2017
Last updated
10/04/2022
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