Individual
DR. JIBRAN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 CUMBERLAND HILL RD, SUITE 208, WOONSOCKET, RI 02895-4854
(401) 765-1200
(401) 765-1212
Mailing address
3 SHADY ROSE LN, MANVILLE, RI 02838-1044
(401) 765-1200
(410) 765-1212
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9516
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9020479
—
RI
Enumeration date
07/06/2005
Last updated
04/01/2008
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