Khalid  L  Khan    MD
Contract Details
Alabama Eye Services Network
Facility name
Provider ID
P000000896
NPI
1538168810
Tax ID
630733593
Effective Date
3/1/1999
Last Updated
11/22/2013
Direct Contract
Yes
Term Date
11/22/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
216 East Battle Street Suite A
Talladega, AL 35160
United States
County
Talladega
Phone
2563621590 (Phone)
Billing Details
Address
Specialty Type
Ophthalmology
Map
Address