Individual
DR. ABDUL LATEEF KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4228 N JOSEY LN, CARROLLTON, TX 75010-4600
(469) 663-3200
Mailing address
5411 KINGSTON DR, RICHARDSON, TX 75082-4074
(469) 870-6020
(207) 345-6221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
S2366
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053554
—
LA
01
—
1457349474
NPI
TX
05
—
157937001
—
AR
01
—
2253429404
CDS
LA
01
—
5N252
BCBS
AR
01
—
E 4423
STATE LICENSE
AR
01
—
LA 200396
STATE LICENSE
LA
Enumeration date
10/12/2005
Last updated
12/28/2023
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