Individual
DR. MOHAMMED S KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 W MCCREIGHT AVE, SPRINGFIELD, OH 45504-1885
(937) 323-1404
(937) 523-9555
Mailing address
100 W MCCREIGHT AVE, SPRINGFIELD, OH 45504-1885
(937) 323-1404
(937) 523-9555
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35059281
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0805221
—
OH
Enumeration date
10/13/2005
Last updated
01/05/2017
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