Individual
JALAAL MALIK KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1710 KERNERSVILLE MEDICAL PKWY STE 220, KERNERSVILLE, NC 27284-7156
(336) 564-4360
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 564-4360
(336) 564-4947
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11924
NC
Other
Enumeration date
05/09/2022
Last updated
07/27/2023
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