Basic Information
Provider Information
NPI: 1467757195
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KHAN
FirstName: NAJEEB
MiddleName: U
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9800 SHELBYVILLE RD STE 220
Address2:  
City: LOUISVILLE
State: KY
PostalCode: 402232992
CountryCode: US
TelephoneNumber: 5024298585
FaxNumber: 8556567325
Practice Location
Address1: 8250 KENWOOD CROSSING WAY STE 200
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452363669
CountryCode: US
TelephoneNumber: 5132750847
FaxNumber: 8556567325
Other Information
ProviderEnumerationDate: 01/11/2011
LastUpdateDate: 08/26/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/26/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207K00000X35.139778OHY Allopathic & Osteopathic PhysiciansAllergy & Immunology 

No ID Information.


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