Khan, Mohammed Ali

Khan, Mohammed Ali is an individual health care provider with primary practice located at 3212 Court St , Pekin IL 61554-6209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Khan, Mohammed Ali can be contacted via phone (309) 306-1234.

Contact Information

Primary practice address
3212 Court St Pekin IL 61554-6209
Phone: (309) 306-1234
Fax: (309) 213-9661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036123108 Illinois

Profile Details

NPI number 1396953485
LBN Legal business name Khan, Mohammed Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2007
Last updated Sep 30th, 2022 - 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 1396953485 NPPES
Illinois Other 09015685 BCBS OF IL
Illinois MEDICAID 036123108 BCBS OF IL

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