Memon, Khalid H

Memon, Khalid H is an individual health care provider with primary practice located at 378 Thompson Poynter Rd , London KY 40741-7238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Memon, Khalid H can be contacted via phone (606) 877-3990.

Contact Information

Primary practice address
378 Thompson Poynter Rd London KY 40741-7238
Fax: (606) 877-3993
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35415 Kentucky

Profile Details

NPI number 1114991197
LBN Legal business name Memon, Khalid H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated May 6th, 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 1114991197 NPPES
Kentucky Other 000000377916 ANTHEM PROVIDER #
Kentucky Other 50005619 ANTHEM PROVIDER #
Kentucky Other 61-1427889 ANTHEM PROVIDER #
Kentucky Other 61-1427889 ANTHEM PROVIDER #
Kentucky Other 030670000 ANTHEM PROVIDER #
Kentucky Other 61-1427889 ANTHEM PROVIDER #
Kentucky Other 61-1427889 ANTHEM PROVIDER #
Kentucky MEDICAID 64007297 ANTHEM PROVIDER #
Kentucky Other C12865 ANTHEM PROVIDER #
Kentucky Other 61-1427889 ANTHEM PROVIDER #

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