Individual
OMAR KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 296-3963
Mailing address
274 BATTERY AVE, BROOKLYN, NY 11209-7139
(347) 419-2802
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
33492
MS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
06/09/2025
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