Individual
IQTIDAR A KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M D
Contact information
Practice address
302 BILL CLINTON DR, SUITE 103, HOPE, AR 71801-8661
(870) 777-2970
(870) 722-6619
Mailing address
302 BILL CLINTON DR STE 103, HOPE, AR 71801-8661
(870) 777-2970
(870) 722-6619
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1281305
ID
207R00000X
Internal Medicine Physician
29405
WV
207R00000X
Internal Medicine Physician
E2934
AR
207R00000X
Internal Medicine Physician
Primary
L9762
TX
207R00000X
Internal Medicine Physician
MD445904
PA
208M00000X
Hospitalist Physician
01072120A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001015937
ANTHEM PROVIDER NUMBER UNDER TIN 35-2030653
IN
05
—
143742001
—
AR
05
—
201202110
—
IN
01
—
5L877
AR BCBS
AR
01
—
90745000040
QUAL CHOICE
AR
Enumeration date
09/08/2005
Last updated
05/01/2026
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