Individual
GULAM ASHFAQ-HUSAIN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 W MARKHAM ST # 556, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01057508
IN
2085R0202X
Diagnostic Radiology Physician
45862
KY
2085R0202X
Diagnostic Radiology Physician
61599
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
E-13238
AR
2085R0202X
Diagnostic Radiology Physician
MD441867
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200455100
—
IN
Enumeration date
09/30/2005
Last updated
11/18/2024
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