Individual
DR. MOHAMMAD ALI KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 HENRY JAMES CT, YOUNGSVILLE, LA 70592-5176
(504) 220-3839
(504) 273-1100
Mailing address
106 HENRY JAMES CT, YOUNGSVILLE, LA 70592-5176
(504) 220-3839
(504) 273-1100
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
N4517
TX
2085R0202X
Diagnostic Radiology Physician
N4517
TX
208D00000X
General Practice Physician
N4517
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/22/2008
Last updated
07/23/2016
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