Provider Demographics
NPI:1144043241
Name:KHAN, USMAN (MD, MSC, FRCSC)
Entity type:Individual
Prefix:DR
First Name:USMAN
Middle Name:
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD, MSC, FRCSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9228 MEDICAL PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9125
Mailing Address - Country:US
Mailing Address - Phone:843-574-5693
Mailing Address - Fax:
Practice Address - Street 1:5280 UNIVERSITY AVENUE
Practice Address - Street 2:
Practice Address - City:HALIFAX
Practice Address - State:NOVA SCOTIA
Practice Address - Zip Code:B3H1Y9
Practice Address - Country:CA
Practice Address - Phone:902-220-5697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-06
Last Update Date:2025-08-11
Deactivation Date:2025-06-27
Deactivation Code:
Reactivation Date:2025-08-11
Provider Licenses
StateLicense IDTaxonomies
SCLL95140207Y00000X
ZZ018522390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program