Most Relevant Information
Provider Data
| NPI Number: | 1003557331 |
| Provider Name: | SULEMAN IMRAN KHAN MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/01/2022 |
| Last Updated: | 04/01/2022 |
Provider Practice Location
801 MASSACHUSETTS AVE FL 6
BOSTON
MA
021182605
Practice Location Phone/Fax
| Phone: | 6174145951 |
| Fax: |
Provider Mailing Location
801 MASSACHUSETTS AVE FL 6
BOSTON
MA
021182605
Provider Mailing Phone/Fax
| Phone: | 6174145951 |
| Fax: |