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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARYAM IDREES KHAN, MD

Active

MARYAM IDREES KHAN, MD is a General Surgery healthcare provider located in PUEBLO, Colorado. NPI 1215426440 is currently active in the NPPES registry. Verify at CMS.

General Surgery · PUEBLO, CO

Registration Details

NPI Number
1215426440
Provider Type
Individual
Gender
Female
NPI Issued
May 3, 2018 (8.2997925225934 yrs)
Last Updated
Feb 27, 2025
Licenses
322450 (NY)
322450 (NY)
DR.0073816 (CO)
DR.0073816 (CO)

Practice Information

Address
1600 N GRAND AVE STE 430
PUEBLO, CO, 810032760
Browse CO providers · Browse ZIP 81003
Phone
7195458240
Fax
7195454319
Primary Specialty
General Surgery
208600000X
Additional Specialty
Surgical Oncology
Additional Specialty
Surgical Oncology
Additional Specialty
General Surgery

Other General Surgery Providers in PUEBLO, CO

Name Credential NPI
MR. HISMAN H PERCIVAL MD 1457354763
GARY E LANE M.D. 1841282498
STEPHEN M GIRARD M.D. 1912999574
EDWARD M LOPEZ MD 1376512665
DR. GREGORY DEWAYNE MCCLAIN M.D. 1093763542
DR. PAUL RAYMOND RADWAY M.D. 1023056173
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.