Individual
MITCHELL ALAN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
410 E ROBINSON ST, SUITE B2, KNOXVILLE, IA 50138-2058
(641) 842-3700
(641) 842-3363
Mailing address
410 E ROBINSON ST, SUITE B2, KNOXVILLE, IA 50138-2058
(641) 842-3700
(641) 842-3363
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036113101
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
3794
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03501
WELLMARK/BLUE CROSS/BLUE
IA
05
—
1407075021
—
IA
01
—
P00404383
RAILROAD MEDICARE
IA
Enumeration date
04/24/2007
Last updated
08/19/2013
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