Organization
DEPT OF VETERANS AFFAIRS
Active
Other names
GOPC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD AIYUB KHAN MD (STAFF PHYSICIAN)
(864) 299-1600
Entity
Organization
Contact information
Practice address
3510 AUGUSTA RD, GREENVILLE, SC 29605-1302
(864) 299-1600
(864) 422-2604
Mailing address
3510 AUGUSTA RD, GREENVILLE, SC 29605-1302
(864) 299-1600
(864) 422-2604
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
4776
VT
Other
Enumeration date
09/28/2006
Last updated
06/26/2008
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