Individual
ABDUL B KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5520 4TH ST, LUBBOCK, TX 79416-4220
(806) 761-0475
Mailing address
5520 4TH ST, LUBBOCK, TX 79416-4220
(806) 761-0475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M3817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181976501
—
TX
01
—
8V9070
BLUE CROSS
TX
Enumeration date
06/22/2006
Last updated
11/20/2009
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