Khan, Mohammad M

Khan, Mohammad M is an individual health care provider with primary practice located at 11110 Medical Campus Rd Ste 130 , Hagerstown MD 21742-6799. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Khan, Mohammad M can be contacted via phone (301) 665-4710.

Contact Information

Primary practice address
11110 Medical Campus Rd Ste 130 Hagerstown MD 21742-6799
Phone: (301) 665-4710
Fax: (301) 665-4711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 61207-20 Wisconsin
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 01050742A Indiana
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X D88494 Maryland

Profile Details

NPI number 1568431849
LBN Legal business name Khan, Mohammad M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Nov 6th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568431849 NPPES
Indiana Other 9397211 PHCS PID NUMBER
Indiana Other 000000269200 PHCS PID NUMBER
Indiana Other 11319874 PHCS PID NUMBER
Indiana MEDICAID 200418760 PHCS PID NUMBER
Indiana Other 000000269189 PHCS PID NUMBER

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