| Khan Family Medical Clinic | |
|
2501 Westown Pkwy Suite 1103 West Des Moines IA 50266-1438 | |
| (515) 440-3484 | |
| (515) 440-0557 |
| Full Name | Khan Family Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2501 Westown Pkwy, West Des Moines, Iowa |
| Authorized Official Name and Position | Coleen Kelleher (COMPLIANCE OFFICER) |
| Authorized Official Contact | 5152267423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khan Family Medical Clinic 2501 Westown Pkwy Suite 1103 West Des Moines IA 50266-1438 Ph: (515) 440-3484 | Khan Family Medical Clinic 2501 Westown Pkwy Suite 1103 West Des Moines IA 50266-1438 Ph: (515) 440-3484 |
| NPI Number | 1316115876 |
|---|---|
| Provider Enumeration Date | 02/18/2008 |
| Last Update Date | 03/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316115876 | NPI | - | NPPES |
| 1185611 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1325 (Iowa) | Primary |
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