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Individual
JABER A. KHAN
Active
Individual
JABER A. KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9701006
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1076
BCBS
NC
01
—
74787
MEDCOST
NC
05
—
89-1076V
—
NC
Enumeration date
07/23/2006
Last updated
02/17/2010
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