Individual
JONATHAN BURHAN IMRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4735 OGLETOWN STANTON RD STE 3301, NEWARK, DE 19713-7021
(302) 623-4370
(302) 623-4375
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
C1-0024330
DE
2086S0102X
Surgical Critical Care Physician
Primary
C1-0024330
DE
Other
Enumeration date
04/29/2013
Last updated
08/31/2021
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