Individual
ABDUL MANNAN KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15813 PAUL VEGA MD DR STE 300A, HAMMOND, LA 70403-1431
(985) 230-7195
(985) 230-7196
Mailing address
PO BOX 3087, HAMMOND, LA 70404-3087
(985) 230-1682
(985) 230-6652
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD.205106
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2103237
—
LA
Enumeration date
04/29/2010
Last updated
12/09/2022
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