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Individual

JAMIL H. KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7456
(757) 668-9255
Mailing address
PO BOX 79137, BALTIMORE, MD 21279-0137
(757) 668-7200
(757) 668-9691

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101042554
VA
208000000X
Pediatrics Physician
0101042554
VA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0101042554
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000932501
DE
05
0017368840001
PA
05
006722245
VA
05
131361400
MD
05
890551K
NC
Enumeration date
05/23/2006
Last updated
12/09/2009
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