Individual
DR. AHMED MOHAMMAD KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 904-7000
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 904-7000
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036163328
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2023026383
MO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
20A12829
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
286149-1
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
62108
CT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
75921
MN
Other
Enumeration date
08/01/2013
Last updated
03/11/2025
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