Individual
DR. AHMED ALI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, MD
Contact information
Practice address
751 N RUTLEDGE ST, SPRINGFIELD, IL 62702-4968
(217) 545-8000
Mailing address
201 E MADISON ST, SPRINGFIELD, IL 62702-5131
(217) 545-3787
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036155894
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/19/2016
Last updated
03/30/2021
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