Organization
AZHAR U KHAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZHAR U KHAN M.D. (OWNER)
(405) 947-3347
Entity
Organization
Contact information
Practice address
3366 NW EXPRESSWAY ST 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
174400000X
Specialist
Primary
19711
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100226590B
—
OK
01
—
290012708
RAILROAD MEDICARE
OK
Enumeration date
07/14/2006
Last updated
05/04/2021
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