Individual
FAISAL Q. KHAN
Active
Individual
FAISAL Q. KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301081794
MI
207RG0100X
Gastroenterology Physician
Primary
036135009
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE (GROUP)
IL
05
—
488406710
—
MI
01
—
700H262220
BLUE CROSS-BLUE CROSS
—
01
—
F400137084
MEDICARE (INDIVIDUAL)
IL
01
—
FK081794
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
07/13/2006
Last updated
06/04/2014
Update your record
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