Khan, Mohammad Raza

Khan, Mohammad Raza is an individual health care provider with primary practice located at 7105 Virginia Rd Ste 9, Crystal Lake IL 60014-7986. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Khan, Mohammad Raza can be contacted via phone (815) 575-1100.

Contact Information

Primary practice address
7105 Virginia Rd Ste 9 Crystal Lake IL 60014-7986
Phone: (815) 575-1100
Fax: (815) 516-0199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35072499 Ohio

Profile Details

NPI number 1801937545
LBN Legal business name Khan, Mohammad Raza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Mar 27th, 2017 - about 7 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 1801937545 NPPES
Ohio MEDICAID 2025909
Ohio Other 05623778

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