Individual
MOHAMMED IBRAHIM KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 510-6400
Mailing address
301 1ST ST SW APT 407, ROANOKE, VA 24011-0005
(910) 922-6835
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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