# GEORGE KHACHAN, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902162530
- **Authorized official:** MRS. DEBBIE GORDON (OFFICE MANAGER)
- **Authorized official phone:** (301) 724-1151

## Contact information

- **Practice address:** 625 KENT AVE, SUITE 301, CUMBERLAND, MD 21502-3794
- **Practice address phone:** (301) 724-1151
- **Practice address fax:** (301) 724-1894
- **Mailing address:** 625 KENT AVE, SUITE 301, CUMBERLAND, MD 21502-3794
- **Mailing address phone:** (301) 724-1151
- **Mailing address fax:** (301) 724-1894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | D38971 | MD | Yes |

## Other

- **Enumeration date:** 04/09/2012
- **Last updated:** 04/09/2012