Individual
DR. FAISAL HAMAD KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2010 CHESTNUT ST, STE H, VAN BUREN, AR 72956-5321
(479) 471-4280
(918) 967-8462
Mailing address
2010 CHESTNUT ST, STE H, VAN BUREN, AR 72956-5340
(479) 471-4280
(918) 967-8462
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
24345
OK
208600000X
Surgery Physician
Primary
E-10046
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200048940B
—
OK
Enumeration date
06/23/2006
Last updated
01/26/2017
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