Individual
MANSOOR A KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 N 6TH AVE, HOPEWELL, VA 23860-2618
(804) 704-2344
(804) 452-4549
Mailing address
501 N 6TH AVE, HOPEWELL, VA 23860-2618
(804) 704-2344
(804) 452-4549
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0101228937
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010096413
—
VA
Enumeration date
03/17/2006
Last updated
08/03/2012
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