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NPI Code Detail

MEDICARE: MRS. MISHAAL KHAN MD

MEDICARE: MRS. MISHAAL KHAN MD
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
1390200000XStudent in an Organized Health Care Education/Training ProgramOH

General Provider Information

NPI Number : 1336766047
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MISHAAL KHAN MD
Provider Business Mailing Address
First Line : 3333 GLENDALE AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43614-2426
Country : US
Telephone Number : 419-383-5502
Fax Number :
Provider Business Practice Location Address
First Line : 3333 GLENDALE AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43614-2426
Country : US
Telephone Number : 419-383-5502
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2020
Last Update Date : 06/25/2026

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Directions to “ MRS. MISHAAL KHAN MD” Practice Location

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