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Individual

RIZWAN R KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1724 KENTON ST, SUITE 2D, HOPKINSVILLE, KY 42240-1981
(270) 886-1544
(270) 886-6305
Mailing address
1724 KENTON ST, SUITE 2D, HOPKINSVILLE, KY 42240-1981
(270) 886-1544
(270) 886-6305

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34352
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000052003
ANTHEM
KY
05
64334253
KY
Enumeration date
04/17/2006
Last updated
10/18/2007
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