Individual
DR. MOHAMMAD A. JAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
819 N 1ST ST., DENNISON, OH 44621-1003
(740) 922-7480
(740) 922-7466
Mailing address
3070 PRESIDENTIAL DR, SUITE 200, FAIRBORN, OH 45324-6293
(937) 429-2160
(937) 426-5663
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35-035556
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0251632
—
OH
Enumeration date
07/27/2006
Last updated
10/11/2016
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