Individual
MR. MATLOOB A KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4850 N MERIDIAN RD, HUNTINGTON, IN 46750-9621
(260) 356-0119
(260) 356-5513
Mailing address
4850 N MERIDIAN RD, HUNTINGTON, IN 46750-9621
(260) 356-0119
(260) 356-5513
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
31998
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3378247
—
TN
Enumeration date
11/17/2006
Last updated
09/20/2007
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