Individual
MUJTABA A. KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7111 N MAIN ST, STE 50, DAYTON, OH 45415-2558
(937) 424-5986
(937) 424-5989
Mailing address
7111 N MAIN ST, STE 50, DAYTON, OH 45415-2558
(937) 424-5986
(937) 424-5989
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35.072389
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
35.072389
OH
207UN0901X
Nuclear Cardiology Physician
35.072389
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060051912
RAILROAD MEDICARE
OH
05
—
2029281
—
OH
Enumeration date
03/17/2006
Last updated
09/26/2024
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