Provider Demographics
NPI:1417905662
Name:KHAN, HASHIM W (MD)
Entity Type:Individual
Prefix:DR
First Name:HASHIM
Middle Name:W
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 PARK MEADOWS DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-2744
Mailing Address - Country:US
Mailing Address - Phone:303-367-2252
Mailing Address - Fax:303-343-8702
Practice Address - Street 1:8500 PARK MEADOWS DR STE 200
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-2744
Practice Address - Country:US
Practice Address - Phone:303-367-2252
Practice Address - Fax:303-343-8702
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS18445207LP2900X
CODR.0051229208VP0000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS001866917BOtherBCBS
MS00127030Medicaid
MS02422826Medicaid
AL1417905662Medicaid
CO46681531Medicaid
MS02422826Medicaid