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Contact Information

ZAFRULLA KHAN, D.D.S.M.S.
529 S JACKSON ST
BROWN CANCER CENTER STE 127
LOUISVILLE, KY40202-3229
 Phone: 502-852-5747
 Fax: 502-852-6132
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for ZAFRULLA KHAN · (Male)

NPI # 1982672150
Status Active
Credentials D.D.S.M.S.
Entity Individual
Enumeration date 03/14/2006
Last updated 09/13/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 5067
  • KY License # 5067/500
  • KY Medicaid 60050671
  • IN Other 100018200 INDIANA MEDICAID
  • KY Other 5651497 AETNA
  • KY Other 611014882002 HEALTH NET TRICARE
  • KY Other 0003831 PASSPORT
  • KY Other 2437178000 PASSPORT ADVANTAGE
  • KY Other 190005666 RR MEDICARE
  • KY Other 775656 UNITED CONN
  • KY Other 611014882 UNITED HEALTH CARE
Hospital affiliation(s) Not Available
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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