Provider Demographics
NPI:1194821983
Name:KHAN, AHMED SULTAN (MD)
Entity Type:Individual
Prefix:DR
First Name:AHMED
Middle Name:SULTAN
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:801 SAINT MARYS DR
Mailing Address - Street 2:SUITE 205 W
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47714-0518
Mailing Address - Country:US
Mailing Address - Phone:812-477-6103
Mailing Address - Fax:812-477-4897
Practice Address - Street 1:801 SAINT MARYS DR
Practice Address - Street 2:SUITE 205 W
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-0518
Practice Address - Country:US
Practice Address - Phone:812-477-6103
Practice Address - Fax:812-477-4897
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01055521A207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology