Provider Demographics
NPI:1477661957
Name:KHAN, MUHAMMAD IQBAL (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:IQBAL
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6188 WESTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-9535
Mailing Address - Country:US
Mailing Address - Phone:330-533-4395
Mailing Address - Fax:330-792-4954
Practice Address - Street 1:6188 WESTINGTON DR
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-9535
Practice Address - Country:US
Practice Address - Phone:330-533-4395
Practice Address - Fax:330-792-4954
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35 0402652084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology