Provider Demographics
NPI:1053520080
Name:KHAN, ZEESHAAN (MD)
Entity type:Individual
Prefix:
First Name:ZEESHAAN
Middle Name:
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8803 S 101ST EAST AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-7546
Mailing Address - Country:US
Mailing Address - Phone:918-574-0220
Mailing Address - Fax:918-574-0229
Practice Address - Street 1:7600 S LEWIS AVE
Practice Address - Street 2:SUITE 1400
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-6836
Practice Address - Country:US
Practice Address - Phone:918-574-0220
Practice Address - Fax:918-574-0229
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA026569207X00000X
OK27364207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery