Mohammed Ilyas Ahmed Khan, M.D.,

NPI #1417198011 in Rockford, Illinois

Provider Information

NPI Number: 1417198011
Entity Type: Individual
Name: Mohammed Ilyas Ahmed Khan, M.D.,
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine - Hospice and Palliative Medicine
Credential: M.D.,
Enumeration Date: Mar 12, 2009
Last Updated: Oct 21, 2014

Practice Location

Address: 2400 N ROCKTON AVE
Address 2: PALLIATIVE CARE
City: Rockford
State: Illinois
ZIP Code: 61103-3655
Phone: (815) 971-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Hospice and Palliative Medicine — Hospice and Palliative Medicine	207RH0002X	Primary

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