Provider Demographics
NPI:1376762054
Name:KHAN, MUHAMMAD ASLAM (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:ASLAM
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER BLVD
Mailing Address - Street 2:SUITE ACP-331
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-3902
Mailing Address - Country:US
Mailing Address - Phone:610-874-1253
Mailing Address - Fax:610-619-8429
Practice Address - Street 1:1 MEDICAL CENTER BLVD
Practice Address - Street 2:SUITE ACP-331
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-3902
Practice Address - Country:US
Practice Address - Phone:610-874-1253
Practice Address - Fax:610-619-8429
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD058724L207RI0200X
PAMD-058724-L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA011058PNJMedicare PIN