Basic Information
| Provider Information | |||||||||
| NPI: | 1417123407 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | KHAN | ||||||||
| FirstName: | MAZHAR | ||||||||
| MiddleName: | ULHAQ | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | DUKE UNIVERSITY HOSPITAL | ||||||||
| Address2: | OFFICE OF GRADUATE MEDICAL EDUCATION | ||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27710 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9196843491 | ||||||||
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| Practice Location | |||||||||
| Address1: | DUKE UNIVERSITY HOSPITAL | ||||||||
| Address2: | OFFICE OF GRADUATE MEDICAL EDUCATION | ||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 277100001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9196843491 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/30/2008 | ||||||||
| LastUpdateDate: | 04/30/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 142552 | NC | N | Allopathic & Osteopathic Physicians | Internal Medicine | 2085N0904X | 142552 | NC | Y | Allopathic & Osteopathic Physicians | Radiology | Nuclear Radiology |
No ID Information.