Individual
ADIL A KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-6026
Mailing address
1251 W KEM ROAD, SUITE E, MARION, IN 46952-2555
(765) 662-4133
(765) 651-7313
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01048805A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000200028
ANTHEM BCBS
IN
05
—
200316350A
—
IN
Enumeration date
11/11/2005
Last updated
01/30/2014
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