Khan, Adil A

Khan, Adil A is an individual health care provider with primary practice located at 1000 E Mountain Blvd , Wilkes Barre PA 18711-0027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Khan, Adil A can be contacted via phone (570) 808-6026.

Contact Information

Primary practice address
1000 E Mountain Blvd Wilkes Barre PA 18711-0027
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01048805A Indiana

Profile Details

NPI number 1538140884
LBN Legal business name Khan, Adil A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated Jan 30th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538140884 NPPES
Indiana Other 000000200028 ANTHEM BCBS
Indiana MEDICAID 200316350A ANTHEM BCBS

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