Individual
SHAMSUL ALAM KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1219 ROCKINGHAM RD, SUITE#3, ROCKINGHAM, NC 28379-4983
(910) 895-4140
Mailing address
PO BOX 100, ROCKINGHAM, NC 28380-0100
(910) 895-4140
(910) 895-4091
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9601645
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891030A
—
NC
Enumeration date
05/19/2010
Last updated
05/19/2010
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