Individual
MOHAMMAD MUSSADIQ KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4245 ALTURA MESA LN NE, ALBUQUERQUE, NM 87110-5058
(505) 349-4288
Mailing address
4245 ALTURA MESA LN NE, ALBUQUERQUE, NM 87110-5058
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301097780
MI
Other
Enumeration date
02/09/2011
Last updated
10/21/2011
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