Individual
MUFEEDULLA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6801 BRECKSVILLE RD, INDEPENDENCE, OH 44131-5032
(216) 636-8742
(216) 636-8742
Mailing address
6801 BRECKSVILLE RD, INDEPENDENCE, OH 44131-5032
(216) 636-8742
(216) 636-8742
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.078907
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2239358
—
OH
01
—
942460636322
CARESOURCE
OH
01
—
P00194537
MEDICARE RR-GA
OH
Enumeration date
06/08/2006
Last updated
12/19/2016
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