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Individual

DR. AHMED M KHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 LIBERTY SQ FL 1, NEW BRITAIN, CT 06051-2637
(860) 225-1227
(860) 225-1253
Mailing address
1 LIBERTY SQ, STE 105, NEW BRITAIN, CT 06051-2637
(860) 225-1227
(860) 225-1253

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
039336
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010039336CT04
ANTHEM
Enumeration date
12/30/2005
Last updated
05/29/2019
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