Healthcare Provider Details

I. General information

NPI: 1649101593
Provider Name (Legal Business Name): MOHAMMED SULAIMAN KHAN MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

979 EAST THIRD ST, STACEY BLANKS SUITE B-810
CHATIANOOGA TN
37403
US

IV. Provider business mailing address

979 EAST THIRD ST, STACEY BLANKS SUITE B-810
CHATIANOOGA TN
37403
US

V. Phone/Fax

Practice location:
  • Phone: 423-778-3546
  • Fax:
Mailing address:
  • Phone: 423-778-3546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: