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Contact Information

KHUDA D KHAN, M.D., PH.D.
315 E BROADWAY FL 4
LOUISVILLE, KY40202
 Phone: 502-629-2500
 Fax: 502-629-2055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KHUDA D KHAN · (Male)

NPI # 1619946159
Status Active
Credentials M.D., PH.D.
Entity Individual
Enumeration date 03/16/2006
Last updated 10/23/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01052174A
  • KY License # 41517
  • AZ Medicaid 631888
  • IN Medicaid 200282440
  • KY Medicaid 7100056260
  • KY Other P01190187 MEDICARE RAILROAD
Hospital affiliation(s)
  • NORTON HOSPITALS INC - (Acute Care)
    200 EAST CHESTNUT STREET
    LOUISVILLE, KY 40202
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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