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Individual

MR. KHALID LATIF KHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
216 BATTLE ST E, STE A, TALLADEGA, AL 35160-2420
(256) 362-1590
(256) 362-1540
Mailing address
216 BATTLE ST E, STE A, TALLADEGA, AL 35160-2420
(256) 362-1590
(256) 362-1540

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
00006890
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000043391
AL
01
510-43391
BCBS
AL
Enumeration date
07/19/2005
Last updated
09/20/2010
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