Individual
DR. MANAQUIBB ZAIN ALI SHAHEER KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3670 PARKER BLVD STE 101, PUEBLO, CO 81008-2285
(719) 562-2900
Mailing address
GRADUATE MEDICAL EDUCATION OFFICE, 400 W 16TH STREET, PUEBLO, CO 81003
(719) 595-7585
(719) 595-7589
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
TL.0008357
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL.0008357
CO
Other
Enumeration date
07/14/2020
Last updated
07/04/2023
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