Kasperkhan, Jibrail

Kasperkhan, Jibrail is an individual health care provider with primary practice located at 21902 Franklin Park Apt 1308 , San Antonio TX 78259-2193. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Kasperkhan, Jibrail can be contacted via phone (210) 479-1955.

Contact Information

Primary practice address
21902 Franklin Park Apt 1308 San Antonio TX 78259-2193
Phone: (210) 479-1955
Fax: (210) 764-1561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X M0453 Texas

Profile Details

NPI number 1245277300
LBN Legal business name Kasperkhan, Jibrail
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 28th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245277300 NPPES
Texas MEDICAID 171891801

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