Individual
DR. JAMILA K KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 756-1717
Mailing address
741 SCHOLL RD, MANSFIELD, OH 44907-1571
(419) 756-1717
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
8097
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062760
—
OH
05
—
0201230
—
OH
Enumeration date
04/13/2007
Last updated
12/17/2012
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