Basic Information
| Provider Information | |||||||||
| NPI: | 1598021347 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KHAN | ||||||||
| FirstName: | MUHAMMAD | ||||||||
| MiddleName: | BILAL SALMAN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 318 1ST AVE SW | ||||||||
| Address2: | APARTMENT # 914 | ||||||||
| City: | ROCHESTER | ||||||||
| State: | MN | ||||||||
| PostalCode: | 559023310 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5136011239 | ||||||||
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| Practice Location | |||||||||
| Address1: | 375 DIXMYTH AVE | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452202475 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5138623306 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2012 | ||||||||
| LastUpdateDate: | 11/12/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208M00000X | 35.125168 | OH | Y | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | 35.125168 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.