Individual
HASSAN KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
6420 DUTCHMANS PKWY STE 200, LOUISVILLE, KY 40205-3373
(502) 891-8300
(502) 891-8338
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
TP960
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
TP960
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TP960
STATE LICENSE
KY
Enumeration date
04/03/2014
Last updated
08/23/2024
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