Khan, Samina S

Khan, Samina S is an individual health care provider with primary practice located at 12632 S Harlem Ave , Palos Heights IL 60463. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Khan, Samina S can be contacted via phone (708) 587-0000.

Contact Information

Primary practice address
12632 S Harlem Ave Palos Heights IL 60463
Phone: (708) 587-0000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 155903 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036124785 Illinois

Profile Details

NPI number 1376512475
LBN Legal business name Khan, Samina S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 1st, 2019 - about 5 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 1376512475 NPPES
Massachusetts Other 791238 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3177645 TUFTS HEALTH PLAN
Massachusetts Other J19634 TUFTS HEALTH PLAN
Massachusetts Other AA20693 TUFTS HEALTH PLAN

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