Provider Demographics
NPI:1356377428
Name:KHAN, MUHAMMAD AKRAM (MD)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:AKRAM
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:335 SOUTH FRANKLIN STREET
Mailing Address - Street 2:C/O CHILDREN'S SERVICE CENTER
Mailing Address - City:WILKES-BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18702
Mailing Address - Country:US
Mailing Address - Phone:570-825-6425
Mailing Address - Fax:570-829-3337
Practice Address - Street 1:335 S FRANKLIN ST
Practice Address - Street 2:C/O CHILDREN'S SERVICE CENTER
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702-3808
Practice Address - Country:US
Practice Address - Phone:570-825-6425
Practice Address - Fax:570-829-3337
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD 4224462084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry