Individual
AHSAN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 CHANTILLY PARK LN, MORGANTOWN, WV 26508-4560
(469) 318-1536
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418964
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/10/2023
Last updated
06/27/2024
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