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Individual

FAWAD AHMED KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, M.B.B.S.

Contact information

Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
200 W ESPLANADE AVE, KENNER, LA 70065-2489
(504) 464-8588

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
148824
NC
2084N0600X
Clinical Neurophysiology Physician
Primary
MD.205381
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07751056
MS
05
2306197
LA
Enumeration date
06/11/2007
Last updated
01/15/2013
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