Individual
DR. MASHIUR RAHMAN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2420 E 10TH ST, JEFFERSONVILLE, IN 47130-7303
(812) 282-8248
Mailing address
2420 E 10TH ST, JEFFERSONVILLE, IN 47130-7303
(812) 282-8248
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
43888
KY
2084P0804X
Child & Adolescent Psychiatry Physician
43888
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100130910
—
KY
Enumeration date
06/26/2007
Last updated
05/13/2014
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