Provider Demographics
NPI:1275764953
Name:KHAN, UMBER ZAHEER (MD)
Entity Type:Individual
Prefix:
First Name:UMBER
Middle Name:ZAHEER
Last Name:KHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:848 N SAINT FRANCIS AVE STE 3949
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-3859
Mailing Address - Country:US
Mailing Address - Phone:316-268-8500
Mailing Address - Fax:
Practice Address - Street 1:848 N SAINT FRANCIS AVE STE 3949
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3859
Practice Address - Country:US
Practice Address - Phone:316-268-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-29
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-395282084N0400X
RIMD149852084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS201147490AMedicaid