Individual
DR. MOHAMMAD H KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
474 NORTH LAKE SHORE DRIVE, APT 4510, CHICAGO, IL 60611-6488
(312) 224-8764
Mailing address
474 NORTH LAKE SHORE DRIVE, APT 4510, CHICAGO, IL 60611-6488
(312) 224-8764
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
01063260A
IN
207RG0100X
Gastroenterology Physician
Primary
036090466
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090466
—
IL
05
—
1396810370
—
WI
05
—
200458220
—
IN
Enumeration date
11/22/2006
Last updated
09/14/2020
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