Individual
ABDUL T. KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 822-7903
Mailing address
103 SAINT MARYS PKWY, FAYETTEVILLE, NC 28303-4630
(910) 867-6716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200300628
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141AP
BLUECROSS BLUESHIELD
NC
05
—
5902521
—
NC
Enumeration date
02/23/2006
Last updated
01/12/2009
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