Provider Demographics
NPI:1144043241
Name:KHAN, USMAN (MD)
Entity type:Individual
Prefix:MR
First Name:USMAN
Middle Name:
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5280 UNIVERSITY AVENUE
Mailing Address - Street 2:
Mailing Address - City:HALIFAX
Mailing Address - State:NOVA SCOTIA
Mailing Address - Zip Code:B3H1Y9
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5280 UNIVERSITY AVENUE
Practice Address - Street 2:
Practice Address - City:HALIFAX
Practice Address - State:NOVA SCOTIA
Practice Address - Zip Code:B3H1Y9
Practice Address - Country:CA
Practice Address - Phone:902-220-5697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ018522390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program