Khan, Ilyas Mohammed

Khan, Ilyas Mohammed is an individual health care provider with primary practice located at 209 Gaslight Blvd , Lufkin TX 75904-3134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Khan, Ilyas Mohammed can be contacted via phone (936) 632-8787.

Contact Information

Primary practice address
209 Gaslight Blvd Lufkin TX 75904-3134
Phone: (936) 632-8787
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 274581 New York
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X Q1680 Texas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X Q1680 Texas

Profile Details

NPI number 1598099327
LBN Legal business name Khan, Ilyas Mohammed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2009
Last updated Jan 9th, 2024 - about 8 months ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598099327 NPPES
New York MEDICAID 03828824
New York MEDICAID 341967301

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