Islam Khan
Internal Medicine, Nephrology in Saint Paul, MN. Individual provider (NPI-1).
NPI number1568677755
StatusActive
Last updated in NPPESSep 15, 2023
Details
- NPI
- 1568677755
- Entity type
- Individual (NPI-1)
- Name
- Islam Khan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 11, 2007
- Certification date
- Sep 15, 2023
- Last updated
- Sep 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | 58962 | MN | Yes |
| 207R00000X | Internal Medicine | 4301087606 | MI | |
| 207RN0300X | Internal Medicine, Nephrology | 57466-20 | WI |
Practice location
205 Wabasha St SSaint Paul, MN 55107-1805
Phone 651-293-8100
Mailing address
205 Wabasha St SSaint Paul, MN 55107-1805
Phone 651-293-8106
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