Individual
EESHA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-6700
(601) 703-3024
Mailing address
PO BOX 5392, MERIDIAN, MS 39302-5392
(601) 703-4379
(601) 703-9283
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
30431
MS
390200000X
Student in an Organized Health Care Education/Training Program
263508
MA
Other
Enumeration date
08/11/2015
Last updated
05/12/2023
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