Basic Information
| Provider Information | |||||||||
| NPI: | 1730635020 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KHAN | ||||||||
| FirstName: | ZOHEIR | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1145 S UTICA AVE STE 460 | ||||||||
| Address2: | |||||||||
| City: | TULSA | ||||||||
| State: | OK | ||||||||
| PostalCode: | 741044041 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9185795749 | ||||||||
| FaxNumber: | 9185795762 | ||||||||
| Practice Location | |||||||||
| Address1: | 1145 S UTICA AVE STE G12 | ||||||||
| Address2: | |||||||||
| City: | TULSA | ||||||||
| State: | OK | ||||||||
| PostalCode: | 741044009 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9185795788 | ||||||||
| FaxNumber: | 9185795017 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/28/2016 | ||||||||
| LastUpdateDate: | 02/18/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/18/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0200X | 070168 | CT | N | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease | 208M00000X | 37780 | OK | N | Allopathic & Osteopathic Physicians | Hospitalist | 390200000X | MT212093 | PA | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207RI0200X | 37780 | OK | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
No ID Information.