Individual
MANSOOR A KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4411 WASHINGTON AVE, SUITE 100, EVANSVILLE, IN 47714-0890
(888) 901-7246
(877) 598-6856
Mailing address
4411 WASHINGTON AVE STE 100, EVANSVILLE, IN 47714-0805
(414) 455-1153
(823) 523-9918
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
01065991A
IN
208VP0014X
Interventional Pain Medicine Physician
Primary
01065991A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200920880
—
IN
Enumeration date
11/28/2007
Last updated
01/19/2026
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