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Individual

DR. SHAKIL A KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 479-5864
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4231
(419) 693-4151

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35047344
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0488922
OH
Enumeration date
07/08/2005
Last updated
06/21/2011
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