Basic Information
| Provider Information | |||||||||
| NPI: | 1417373556 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | KHAN NOOHANI MD PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5740 COBBLESTONE LN | ||||||||
| Address2: | |||||||||
| City: | DAVIE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333312539 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9543192020 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1323 NORTH A STREET | ||||||||
| Address2: | SUMNER REGIONAL MEDICAL CENTER | ||||||||
| City: | WELLINGTON | ||||||||
| State: | KS | ||||||||
| PostalCode: | 67152 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6203267451 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/13/2014 | ||||||||
| LastUpdateDate: | 03/14/2014 | ||||||||
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| AuthorizedOfficialLastName: | NOOHANI | ||||||||
| AuthorizedOfficialFirstName: | KHAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9543192020 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 273R00000X | 08-00309 | KS | Y | Hospital Units | Psychiatric Unit |
No ID Information.