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1548754948
MOHAMMED IBRAHIM KHAN
ROANOKE, VA
NPI
1548754948
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-06-19
Last Update Date
2018-06-19
Business Address
MOHAMMED IBRAHIM KHAN MD
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-510-6400
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Mailing Address
MOHAMMED IBRAHIM KHAN MD
301 1ST ST SW APT 407
ROANOKE, VA 24011-0005
Phone number: 910-922-6835
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