Provider Demographics
NPI:1396761185
Name:KHAN, MAJID AZIZ (MD)
Entity type:Individual
Prefix:
First Name:MAJID
Middle Name:AZIZ
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 GREENLEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:410-933-6340
Mailing Address - Fax:
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21264-4824
Practice Address - Country:US
Practice Address - Phone:410-955-5080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS178222085N0700X
MDD595142085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL197600Medicaid
MSP00462251OtherRAILROAD MEDICARE
MS06523572Medicaid
MS512G700003OtherMS MEDICARE - GROUP
MSP00436434OtherRAILROAD MEDICARE
MSP00436434OtherRAILROAD MEDICARE
MSP00462251OtherRAILROAD MEDICARE
MSH-73005Medicare UPIN
MS512I300004Medicare PIN
MS333188YWZ1Medicare PIN