Khan, Khuda Dad

Khan, Khuda Dad is an individual health care provider with primary practice located at 315 E Broadway Fl 4 , Louisville KY 40202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Khan, Khuda Dad can be contacted via phone (502) 629-2500.

Contact Information

Primary practice address
315 E Broadway Fl 4 Louisville KY 40202
Phone: (502) 629-2500
Fax: (502) 629-2055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 41517 Kentucky
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01052174A Indiana

Profile Details

NPI number 1619946159
LBN Legal business name Khan, Khuda Dad
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Oct 23rd, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619946159 NPPES
Indiana MEDICAID 200282440
Indiana MEDICAID 7100056260
Indiana Other P01190187
Indiana MEDICAID 631888

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