Individual provider · Type 1 NPI

Mbill Shadman Khan

Student in an Organized Health Care Education/Training Program · Statesboro, GA

NPI number 1649848730 Active

Practice location

1332 Southern Dr
Statesboro, GA 30460-1360

Call (912) 478-2674 Map

Mailing address

1326 Gale Dr
Norcross, GA 30093-1615

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 1649848730

Mbill Shadman Khan's National Provider Identifier is 1649848730, issued on Jun 15, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Statesboro, GA. The record was last updated on Jun 15, 2021.