Individual
DR. AZIZ KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 N 9TH ST, 2W106, SPRINGFIELD, IL 62702-5303
(217) 545-5817
(217) 545-4735
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-7578
(217) 545-1884
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A44121
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036118876
—
IL
01
—
P00460020
RAILROAD MEDICARE
IL
Enumeration date
06/27/2006
Last updated
05/16/2008
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