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Organization

HUMAYON B. KHAN M.D. A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HUMAYON B KHAN M.D. (PRESIDENT/PHYSICIAN)
(617) 953-4675
Entity
Organization

Contact information

Practice address
751 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6617
(619) 502-5800
(765) 284-2434
Mailing address
PO BOX 568, MUNCIE, IN 47308-0568
(765) 284-0493
(765) 284-2434

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A94428
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
CA
Enumeration date
08/10/2009
Last updated
08/10/2009
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