Organization
NAEEM A KHAN MD SC
Active
Organization
NAEEM A KHAN MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAEEM ANWAR KHAN MD (OWNER)
(618) 532-3517
Entity
Organization
Contact information
Practice address
1050 M L KING DR, SUITE 108, CENTRALIA, IL 62801-3060
(618) 532-3517
(618) 532-0801
Mailing address
1050 M L KING DR, SUITE 108, CENTRALIA, IL 62801-3060
(618) 532-3517
(618) 532-0801
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036064097
IL
Other
Enumeration date
02/23/2007
Last updated
05/24/2012
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