Provider Demographics
NPI:1801007224
Name:KHAN, NOMA Y (MD)
Entity Type:Individual
Prefix:
First Name:NOMA
Middle Name:Y
Last Name:KHAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:415 MORRIS STREET
Mailing Address - Street 2:SUITE 304
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301
Mailing Address - Country:US
Mailing Address - Phone:304-388-7782
Mailing Address - Fax:304-388-7788
Practice Address - Street 1:3200 MACCORKLE AVENUE SE
Practice Address - Street 2:HOSPITALIST PROGRAM
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25304
Practice Address - Country:US
Practice Address - Phone:304-388-5848
Practice Address - Fax:304-388-9654
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2021-01-13
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Provider Licenses
StateLicense IDTaxonomies
WV23325207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00819495Medicare PIN
KH4280931Medicare PIN
RH7389881Medicare PIN