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NPI Code Detail

MEDICARE: NASEERUDDIN A KHAN

MEDICARE: NASEERUDDIN A KHAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician16696MS

General Provider Information

NPI Number : 1518149699
Entity Type Code : Organization
Provider Name (Legal Business Name) : NASEERUDDIN A KHAN
Provider Business Mailing Address
First Line : PO BOX 11407
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35246-1353
Country : US
Telephone Number : 904-388-3351
Fax Number :
Provider Business Practice Location Address
First Line : 428 24TH AVE N
Second Line :
City : COLUMBUS
State : MS
Zip : 39705-1945
Country : US
Telephone Number : 662-329-4855
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : JOANNE BROWN
Credential :
Telephone Number : 904-388-3351
Provider Enumeration Date : 11/30/2007
Last Update Date : 06/13/2008

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Directions to “NASEERUDDIN A KHAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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