Individual
MR. M O KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 IRVING STREET, BARNWELL, SC 29812
(803) 259-5150
(803) 259-9078
Mailing address
55 IRVING STREET, BARNWELL, SC 29812
(803) 259-5150
(803) 259-9078
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8422
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084223
—
SC
Enumeration date
06/09/2006
Last updated
05/01/2008
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