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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
MI4301031939

Other Provider Identifiers:

IssuerNumberStateType
2108970MI05
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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