Individual
ISLAM KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 WABASHA ST S, SAINT PAUL, MN 55107-1805
(651) 293-8100
Mailing address
205 WABASHA ST S, SAINT PAUL, MN 55107-1805
(651) 293-8106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301087606
MI
207RN0300X
Nephrology Physician
57466-20
WI
207RN0300X
Nephrology Physician
Primary
58962
MN
Other
Enumeration date
05/11/2007
Last updated
09/15/2023
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