Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ghulam Khan, MD

Individual provider Family Medicine Physician · NPI 1588042220

Ghulam Khan, MD is a Family Practice in Pine Bluff, Arkansas. Qualified in 2007, 19 years ago. Practices with Nuvance Health Medical Practice CT Inc, a 741-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arkansas and Connecticut.

Years since qualifying
19
Licensed in
AR, CT
In the registry since
2015
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4010 S Mulberry St
Pine Bluff, AR 71603
Phone: (870) 541-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence E-10502 (AR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 64115 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588042220
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2015
Last updated in NPPESOctober 23, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Nuvance Health Medical Practice Ct Inc — 741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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