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Contact Information

AHTARAM M KHAN, MD
4002 W PARK BLVD
PLANO, TX75093-3839
 Phone: 972-985-8000
 Fax: 972-985-0050
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for AHTARAM M KHAN · (Male)

NPI Number 1336258003
Status Active
Credentials MD
Entity Individual
Enumeration date 08/29/2006
Last updated 03/24/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • TX License # MDL1628
  • TX Medicaid 157616701
  • TX Other 0051HA BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • MEDICAL CENTER OF PLANO - (Acute Care)
    3901 W 15TH ST
    PLANO, TX 75075
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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