# MANSOOR AHMAD KHAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295968766
- **Authorized official:** DR. MANSOOR AHMAD KHAN M.D. (OWNER)
- **Authorized official phone:** (718) 290-3963

## Contact information

- **Practice address:** 4400 WASHINGTON AVE, FIRST FLOOR, EVANSVILLE, IN 47714-0887
- **Practice address phone:** (718) 290-3963
- **Mailing address:** PO BOX 935, NEWBURGH, IN 47629-0935
- **Mailing address phone:** (718) 290-3963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 0106551A | IN | Yes |

## Other

- **Enumeration date:** 08/31/2009
- **Last updated:** 08/31/2009