Provider Demographics
NPI:1861691982
Name:KHAN, LIAQAT HAYAT (MD)
Entity type:Individual
Prefix:
First Name:LIAQAT
Middle Name:HAYAT
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:501 MEDICAL CENTER DR
Mailing Address - Street 2:RAPIDES REGIONAL MEDICAL CENTER NICU
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-8124
Mailing Address - Country:US
Mailing Address - Phone:318-769-7160
Mailing Address - Fax:318-769-7473
Practice Address - Street 1:501 MEDICAL CENTER DR
Practice Address - Street 2:RAPIDES REGIONAL MEDICAL CENTER NICU
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-8124
Practice Address - Country:US
Practice Address - Phone:318-769-7160
Practice Address - Fax:318-769-7473
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4343742080N0001X
LAMD.2027782080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine