Khan, Gulam Ashfaq-Husain

Khan, Gulam Ashfaq-Husain is an individual health care provider with primary practice located at 13738 Chase St , Crown Point IN 46307-9774. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Khan, Gulam Ashfaq-Husain can be contacted via phone (877) 264-3344.

Contact Information

Primary practice address
13738 Chase St Crown Point IN 46307-9774
Phone: (877) 264-3344
Fax: (888) 264-8118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 45862 Kentucky
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 61599 Arizona
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01057508 Indiana

Profile Details

NPI number 1528055001
LBN Legal business name Khan, Gulam Ashfaq-Husain
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated May 16th, 2024 - about 6 months 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 1528055001 NPPES
Indiana MEDICAID 200455100

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