Provider Demographics
NPI:1821293556
Name:KHAN, ZEESHAN (DO)
Entity Type:Individual
Prefix:DR
First Name:ZEESHAN
Middle Name:
Last Name:KHAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 N PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19067-6622
Mailing Address - Country:US
Mailing Address - Phone:215-295-9131
Mailing Address - Fax:215-736-8535
Practice Address - Street 1:423 N PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:PA
Practice Address - Zip Code:19067-6622
Practice Address - Country:US
Practice Address - Phone:215-295-9131
Practice Address - Fax:215-736-8535
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NJ25MB08789700207R00000X
GA70133207RP1001X
PAOS01722207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine