Individual
MOHAMMED ILYAS AHMED KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
2400 N ROCKTON AVE, PALLIATIVE CARE, ROCKFORD, IL 61103-3655
(815) 971-5000
(815) 968-9677
Mailing address
2400 N ROCKTON AVE, PALLIATIVE CARE, ROCKFORD, IL 61103-3655
(915) 971-5000
(815) 968-9677
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
036135854
IL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
35.093467
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3058131
—
OH
Enumeration date
03/12/2009
Last updated
10/21/2014
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