IMTIAZ R KHAN
Individual Provider (NPI-1)
Active
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Information
- NPI Number
1306137666- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2223 QUAIL RUN STE E, BATON ROUGE, LA, 708089063
- Phone
- (225) 877-2872
Specialties & Taxonomies
Surgery
License: MI #4301505573
Surgery
License: LA #313117
Thoracic Surgery (Cardiothoracic Vascular Surgery)
License: MI #4301505573
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Primary License: LA #313117