Individual
DR. MOHAMMED JAMIL AHMED KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1206 RICHARDSON ST, PORT HURON, MI 48060-3549
(810) 984-4340
(810) 984-2303
Mailing address
1206 RICHARDSON ST, PORT HURON, MI 48060-3549
(810) 984-4340
(810) 984-2303
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301031939
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2108970
—
MI
Enumeration date
10/27/2005
Last updated
06/14/2011
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