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1568036184
BASIM AHMED KHAN
JACKSON, MS
NPI
1568036184
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MS T-4371)
Enumeration Date
2021-05-18
Last Update Date
2021-08-06
Business Address
BASIM AHMED KHAN M.D.
2500 NORTH STATE STREET UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
JACKSON, MS 39216
Phone number: 601-984-1000
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Mailing Address
BASIM AHMED KHAN M.D.
715 RICE RD, APT 3E
RIDGELAND, MS 39157
Phone number: 769-231-5011
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