Kasperkhan, Jibrail
Kasperkhan, Jibrail is an individual health care provider with primary practice located at 21902 Franklin Park Apt 1308 , San Antonio TX 78259-2193. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Kasperkhan, Jibrail can be contacted via phone (210) 479-1955.Contact Information
Primary practice address
21902 Franklin Park Apt 1308
San Antonio TX 78259-2193
Phone: (210) 479-1955
Fax: (210) 764-1561
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | M0453 | Texas |
Profile Details
NPI number | 1245277300 |
---|---|
LBN Legal business name | Kasperkhan, Jibrail |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 31st, 2006 |
Last updated | Jul 28th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245277300 | NPPES |
Texas | MEDICAID | 171891801 |
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