Organization
HUMAYON B. KHAN M.D. A MEDICAL CORPORATION
Active
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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