Individual
DR. TAYYAB WAHAB KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 W HOMER ST, MICHIGAN CITY, IN 46360-4358
(219) 879-8511
Mailing address
1507 WABASH ST STE 400C, MICHIGAN CITY, IN 46360-4361
(219) 871-0833
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.134771
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207L00000X
NPPES
—
Enumeration date
04/08/2011
Last updated
10/22/2018
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