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Individual

JAWAD H KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3001 SANFORD PKWY, THIEF RIVER FALLS, MN 56701-2700
(218) 681-4747
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45439
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0405282
MEDICA #
MN
05
12528
MN
01
137046
UCARE #
MN
01
1783340
AMERICA'S PPO/ARAZ #
MN
01
22934
NDBS #
MN
01
67G53KH
MNBS #
MN
05
938140600
MN
01
DA9021034880
PREFERRED ONE #
MN
01
HP38672
HEALTHPARTNERS #
MN
01
MN100049
LHS/BANNERHEALTH #
MN
Enumeration date
06/14/2006
Last updated
05/18/2023
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