DR. MOHAMMED JAMIL AHMED KHAN MD

Allergy and Immunology

Port Huron, Michigan

Provider NPI: 1013907328

Provider Information:
DR. MOHAMMED JAMIL AHMED KHAN MD


Practice Location:
1206 RICHARDSON ST  PORT HURON, MI 48060 US
Tel: 810-984-4340  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	MI	4301031939

Other Provider Identifiers:

Issuer	Number	State	Type
	2108970	MI	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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