Individual
NASIM A KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10001 LILE DR, LITTLE ROCK, AR 72205-6217
(501) 552-0500
(501) 604-8758
Mailing address
PO BOX 23410, LITTLE ROCK, AR 72221-3410
(501) 224-1690
(501) 224-1927
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
E-5873
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177897001
—
AR
01
—
1I8763
MEDICARE ID FOR CHI ST. VINCENT LITTLE ROCK DIAGNOSTIC CLINIC
AR
Enumeration date
07/24/2006
Last updated
12/05/2022
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