Khan, Agha Baber
Khan, Agha Baber is an sole proprietor health care provider with primary practice located at 1303 Fortino Blvd Ste A , Pueblo CO 81008-2032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Khan, Agha Baber can be contacted via phone (719) 544-0052.Contact Information
Primary practice address
1303 Fortino Blvd Ste A
Pueblo CO 81008-2032
Phone: (719) 544-0052
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | DR37853 | Colorado |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 28422 | Arizona |
Profile Details
| NPI number | 1649336546 |
|---|---|
| LBN Legal business name | Khan, Agha Baber |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Oct 25th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649336546 | NPPES |
| Colorado | MEDICAID | 70773874 |
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