Organization
UMAR KHAN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UMAR KHAN MD (PHYSICIAN)
(270) 901-1991
Entity
Organization
Contact information
Practice address
440 HIGH STREET, BOWLING GREEN, KY 42101
(270) 901-1991
Mailing address
PO BOX 57105, BOWLING GREEN, KY 42102
(270) 901-1991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44844
KY
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
44844
KY
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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