Khan, Mumtaz

Khan, Mumtaz is an individual health care provider with primary practice located at 650 Joel Dr Blanchfield Hospital, Fort Campbell KY 42223-5318. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Khan, Mumtaz can be contacted via phone (270) 798-8388.

Contact Information

Primary practice address
650 Joel Dr Blanchfield Hospital Fort Campbell KY 42223-5318
Phone: (270) 798-8388
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1919 Wisconsin

Profile Details

NPI number 1093795726
LBN Legal business name Khan, Mumtaz
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Oct 27th, 2014 - about 10 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 1093795726 NPPES
Wisconsin MEDICAID 42873300

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