Khan, Maryam Idrees

Khan, Maryam Idrees is an individual health care provider with primary practice located at 1600 N Grand Ave Ste 430 , Pueblo CO 81003-2760. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Khan, Maryam Idrees can be contacted via phone (719) 545-8240.

Contact Information

Primary practice address
1600 N Grand Ave Ste 430 Pueblo CO 81003-2760
Phone: (719) 545-8240
Fax: (719) 545-4319
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 322450 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 322450 New York

Profile Details

NPI number 1215426440
LBN Legal business name Khan, Maryam Idrees
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2018
Last updated Jul 12th, 2024 - about 4 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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