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Individual

DR. ZIA KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(727) 386-6314
Mailing address
6500 38TH AVE N, ST PETERSBURG, FL 33710-1629

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036.162156
IL
2085R0202X
Diagnostic Radiology Physician
OS20664
FL
2085R0202X
Diagnostic Radiology Physician
U6515
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/19/2019
Last updated
12/27/2024
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