Individual
DR. MOHSIN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2350 N ROCKTON AVE, ROCKFORD HEALTH PHYSICIANS, ROCKFORD, IL 61103-3600
(815) 971-7600
(815) 971-9901
Mailing address
2350 N ROCKTON AVE, ROCKFORD HEALTH PHYSICIANS, ROCKFORD, IL 61103-3600
(815) 971-7600
(815) 971-9901
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
36115959
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36115959
—
IL
01
—
616040102
PTAN
IL
Enumeration date
08/16/2006
Last updated
11/20/2014
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