Provider Demographics
NPI:1073755187
Name:KHAN, KHURRAM ASHRAF (BDS, DMD)
Entity Type:Individual
Prefix:DR
First Name:KHURRAM
Middle Name:ASHRAF
Last Name:KHAN
Suffix:
Gender:M
Credentials:BDS, DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7523 STATE RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-2438
Mailing Address - Country:US
Mailing Address - Phone:513-232-8989
Mailing Address - Fax:513-232-1405
Practice Address - Street 1:7523 STATE RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-2438
Practice Address - Country:US
Practice Address - Phone:513-232-8989
Practice Address - Fax:513-232-1405
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-03
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0243731223S0112X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery