Individual
AZHAR ULLAH KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3366 NW EXPRESSWAY STE 650, OKLAHOMA CITY, OK 73112-4490
(405) 947-3347
(405) 947-4232
Mailing address
3366 NW EXPRESSWAY, SUITE 660, OKLAHOMA CITY, OK 73112-4462
(405) 947-3345
(405) 946-6677
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
19711
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100226590A
—
OK
01
—
290012708
RAILROAD MEDICARE
OK
Enumeration date
04/22/2006
Last updated
05/04/2021
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