Provider Demographics
NPI:1538780556
Name:ADIL, ABID NAWAZ KHAN (MD)
Entity type:Individual
Prefix:
First Name:ABID NAWAZ KHAN
Middle Name:
Last Name:ADIL
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 1:2213 CHERRY STREET 1ST FLOOR ACC
Mailing Address - Street 2:MERCY HEALTH ST VINCENT MEDICAL CENTER
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608
Mailing Address - Country:US
Mailing Address - Phone:419-251-4744
Mailing Address - Fax:419-251-6795
Practice Address - Street 1:2213 CHERRY STREET 1ST FLOOR ACC
Practice Address - Street 2:MERCY HEALTH ST VINCENT MEDICAL CENTER
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608
Practice Address - Country:US
Practice Address - Phone:419-251-4744
Practice Address - Fax:419-251-6795
Is Sole Proprietor?:No
Enumeration Date:2020-04-30
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.249375390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program