Khan, Mujtaba A.

Khan, Mujtaba A. is an individual health care provider with primary practice located at 7111 N Main St Ste 50, Dayton OH 45415-2558. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Khan, Mujtaba A. can be contacted via phone (937) 424-5986.

Contact Information

Primary practice address
7111 N Main St Ste 50 Dayton OH 45415-2558
Phone: (937) 424-5986
Fax: (937) 424-5989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35.072389 Ohio
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 35.072389 Ohio
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 35.072389 Ohio

Profile Details

NPI number 1629047857
LBN Legal business name Khan, Mujtaba A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Mar 13th, 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 1629047857 NPPES
Ohio MEDICAID 2029281
Ohio Other 060051912

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