Individual
MUSTAFA SARDAR KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 BLUE RIDGE RD STE 100, RALEIGH, NC 27612-8087
(919) 781-1437
(919) 787-4870
Mailing address
5220 GREENS DAIRY RD, RALEIGH, NC 27616-4612
(540) 493-4581
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101271029
VA
2085R0202X
Diagnostic Radiology Physician
Primary
2015-00928
NC
Other
Enumeration date
07/14/2010
Last updated
04/27/2023
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