Provider Demographics
NPI:1760169536
Name:KHAN, ZARAQ RASHID (MBBS)
Entity Type:Individual
Prefix:MR
First Name:ZARAQ
Middle Name:RASHID
Last Name:KHAN
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 EAST BROADWAY SUITE 100
Mailing Address - Street 2:
Mailing Address - City:LOUIVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202
Mailing Address - Country:US
Mailing Address - Phone:502-852-1603
Mailing Address - Fax:502-852-1961
Practice Address - Street 1:501 EAST BROADWAY SUITE 100
Practice Address - Street 2:
Practice Address - City:LOUIVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202
Practice Address - Country:US
Practice Address - Phone:502-852-1603
Practice Address - Fax:502-852-1961
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program