Individual
MR. MOHAMMAD IBRAHEEM KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
STONY BROOK UFPC PRACTICE 101 NICOLLS ROAD HSC T17-060, STONY BROOK, NY 11794-6999
(631) 444-3518
(631) 444-8886
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-3518
(631) 444-8886
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
305306
NY
Other
Enumeration date
04/17/2014
Last updated
07/01/2020
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