Provider Demographics
NPI:1457329005
Name:KHAN, MOHAMMED N (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:N
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5601 LOCH RAVEN BLVD
Mailing Address - Street 2:RUSSELL MORGAN BLDG., 3RD FLOOR
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-2905
Mailing Address - Country:US
Mailing Address - Phone:410-464-5600
Mailing Address - Fax:410-435-5367
Practice Address - Street 1:5601 LOCH RAVEN BLVD
Practice Address - Street 2:RUSSELL MORGAN BLDG., 3RD FLOOR
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-2905
Practice Address - Country:US
Practice Address - Phone:410-464-5600
Practice Address - Fax:410-435-5367
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-09
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MDD25391207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D74672Medicare UPIN
MD089L433NMedicare ID - Type Unspecified