Khan, Jibran

Khan, Jibran is an individual health care provider with primary practice located at 20 Cumberland Hill Rd Suite 208, Woonsocket RI 02895-4854. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Khan, Jibran can be contacted via phone (401) 765-1200.

Contact Information

Primary practice address
20 Cumberland Hill Rd Suite 208 Woonsocket RI 02895-4854
Phone: (401) 765-1200
Fax: (401) 765-1212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9516 Rhode Island

Profile Details

NPI number 1902803935
LBN Legal business name Khan, Jibran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Apr 1st, 2008 - about 17 years 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 1902803935 NPPES
Rhode Island MEDICAID 9020479

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