Doctor Name: | WAJAHAT U KHAN |
NPI Number: | 1730442518 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 2222 North Nevada Avenue Suite 4001 Colorado Springs, CO - 80907 |
Business Phone Number: | 7196369393 |
Business Fax Number: | 7196362087 |
Mailing Address: | 2 South Cascade Avenue, Suite 140 COLORADO SPRINGS |
State: | CO |
Postal Code: | 809031604 |
Phone Number: | 7195382900 |
Fax Number: | 7195382961 |
NPI Enumeration Date: | 06/18/2012 |
NPI Last Update Date: | 06/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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. |