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Contact Information

NAEEM A KHAN, MD
1050 MARTIN LUTHER KING DRIVE
STE #108
CENTRALIA, IL62801
 Phone: 618-532-8574
 Fax: 618-532-0801
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for NAEEM A KHAN · (Male)

NPI # 1942229810
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MO License # R3K03
Hospital affiliation(s)
  • GOOD SAMARITAN REGIONAL HEALTH CENTER - (Acute Care)
    1 GOOD SAMARITAN WAY
    MOUNT VERNON, IL 62864
  • SARAH BUSH LINCOLN HEALTH CENTER - (Acute Care)
    1000 HEALTH CENTER DRIVE P O BOX 372
    MATTOON, IL 61938
  • ST MARYS HOSPITAL - (Acute Care)
    400 NORTH PLEASANT AVENUE
    CENTRALIA, IL 62801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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