Individual
JABER A. KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 WHITE OAK ST, ASHEBORO, NC 27203-4710
(336) 625-1360
(336) 625-1889
Mailing address
550 WHITE OAK ST, ASHEBORO, NC 27203-4710
(336) 625-1360
(336) 625-1889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9701006
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1076
BCBS
NC
01
—
74787
MEDCOST
NC
05
—
89-1076V
—
NC
Enumeration date
07/23/2006
Last updated
02/17/2010
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