Individual provider · Type 1 NPI

Randolph Jalal Khan

Student in an Organized Health Care Education/Training Program · Flint, MI

NPI number 1609793264 Active

Practice location

303 E Kearsley St
Flint, MI 48502-1907

Mailing address

704 Eagle Dr
Fenton, MI 48430-4166

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609793264

Randolph Jalal Khan's National Provider Identifier is 1609793264, issued on Jul 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Flint, MI. The record was last updated on Jul 2, 2026.