Provider Demographics
NPI:1780979963
Name:KHOKHAR, MUHAMMAD OMER (MD)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:OMER
Last Name:KHOKHAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:111 CONTINENTAL DRIVE, SUITE 406
Mailing Address - Street 2:IPC-THE HOSPITALIST COMPANY.
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-8112
Mailing Address - Country:US
Mailing Address - Phone:302-984-2577
Mailing Address - Fax:302-368-1271
Practice Address - Street 1:25 LIBBY ST
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02302-2949
Practice Address - Country:US
Practice Address - Phone:844-604-4673
Practice Address - Fax:508-941-6117
Is Sole Proprietor?:No
Enumeration Date:2011-06-15
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA312574207RX0202X
MA1018554207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology