Individual
DR. MOHAMMED ATTAULLAH KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 296-3963
Mailing address
1871 ASHWOOD LN, AURORA, IL 60506-1206
(630) 999-6065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036173073
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
02/06/2025
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