Individual
DR. MUHAMMAD IBRAHIM ALI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1073 HARDING MEMORIAL PKWY STE A, MARION, OH 43302-6364
(740) 375-8190
(740) 375-8197
Mailing address
DEPT L-3652, COLUMBUS, OH 43260-0001
(740) 375-8190
(740) 375-8197
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
35084940
OH
207R00000X
Internal Medicine Physician
Primary
35.084940
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2499130
—
OH
Enumeration date
06/21/2006
Last updated
12/15/2021
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