Individual
DR. PHILLIP DAVID KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1456 N HOWE ST STE 201, SOUTHPORT, NC 28461-2674
(910) 754-8808
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(910) 754-8808
(910) 754-8809
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2013-00923
NC
208200000X
Plastic Surgery Physician
P6658
TX
208600000X
Surgery Physician
LL28527
SC
2086S0122X
Plastic and Reconstructive Surgery Physician
2013-00923
NC
2086S0122X
Plastic and Reconstructive Surgery Physician
P6658
TX
Other
Enumeration date
07/12/2007
Last updated
10/25/2020
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