Doctor Name: | HABIB AHMAD KHAN |
NPI Number: | 1639457260 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 4301099080 |
Business Practice Address: | 200 S Wells Rd Suite 200 Ventura, CA - 930041377 |
Business Phone Number: | 8056591740 |
Business Fax Number: | 8056593217 |
Mailing Address: | 200 S Wells Rd, Suite 200 VENTURA |
State: | CA |
Postal Code: | 930041377 |
Phone Number: | 8056591740 |
Fax Number: | 8056593217 |
NPI Enumeration Date: | 08/01/2011 |
NPI Last Update Date: | 06/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 4301099080 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |