Mr Mubbashir Muzzammil Khan, MD is a
Psychiatry & Neurology - Psychiatry physician based in Douglas, Georgia. Mr Mubbashir Muzzammil Khan is licensed to practice in Georgia (license number 054327) and his current practice location is 410 Shirley Ave, Douglas, Georgia. He can be reached at his office (for appointments etc.) via phone at
(912) 260-1206.
NPI number for Mr Mubbashir Muzzammil Khan is 1871639237 and his current mailing address is 410 Shirley Ave, Douglas, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871639237.
Physician's Profile
| Full Name | Mr Mubbashir Muzzammil Khan |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 410 Shirley Ave, Douglas, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1871639237
- Provider Enumeration Date: 01/30/2007
- Last Update Date: 04/15/2015
Medical Identifiers
Medical identifiers for Mr Mubbashir Muzzammil Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871639237 | NPI | - | NPPES |
| 003120037D | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 054327 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mubbashir Muzzammil Khan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Mubbashir Muzzammil Khan, MD
410 Shirley Ave,
Douglas, GA 31533-2002
Ph: (912) 260-1206 | Mr Mubbashir Muzzammil Khan, MD
410 Shirley Ave,
Douglas, GA 31533-2002
Ph: (912) 260-1206 |
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