Khan, Imtiaz R

Khan, Imtiaz R is an individual health care provider with primary practice located at 2223 Quail Run Ste E , Baton Rouge LA 70808-9063. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Khan, Imtiaz R can be contacted via phone (225) 877-2872.

Contact Information

Primary practice address
2223 Quail Run Ste E Baton Rouge LA 70808-9063
Phone: (225) 877-2872
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301505573 Michigan
Allopathic & Osteopathic Physicians / Surgery 208600000X 313117 Louisiana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 4301505573 Michigan
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 313117 Louisiana

Profile Details

NPI number 1306137666
LBN Legal business name Khan, Imtiaz R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2011
Last updated Nov 16th, 2021 - about 3 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 1306137666 NPPES
Louisiana MEDICAID 56868

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