Organization
MANSOOR AHMAD KHAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANSOOR AHMAD KHAN M.D. (OWNER)
(718) 290-3963
Entity
Organization
Contact information
Practice address
4400 WASHINGTON AVE, FIRST FLOOR, EVANSVILLE, IN 47714-0887
(718) 290-3963
Mailing address
PO BOX 935, NEWBURGH, IN 47629-0935
(718) 290-3963
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
0106551A
IN
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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