Individual
DR. AHMAD KHAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 POINTE DR, VALPARAISO, IN 46383-7056
(219) 934-5300
Mailing address
1700 POINTE DR, VALPARAISO, IN 46383-7056
(219) 934-5300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01059621A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360238
ANTHEM
IN
01
—
P00199233
RR MEDICARE
IN
Enumeration date
06/09/2006
Last updated
07/08/2007
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