Individual
ABDUL MOIZ KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 N BELL SCHOOL RD, ROCKFORD, IL 61114-6624
(779) 696-9400
(779) 696-9365
Mailing address
47 NEW SCOTLAND AVE DEPT OF INTERNAL MEDICINE, ALBANY, NY 12208-3412
(518) 262-3095
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
036167261
IL
390200000X
Student in an Organized Health Care Education/Training Program
64034
—
Other
Enumeration date
07/12/2018
Last updated
07/23/2024
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