Individual
NADRA N KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 MEDICAL PARKWAY, ACUTE CARE PAVILION, ANNAPOLIS, MD 21401-3280
(443) 481-1000
(443) 481-1687
Mailing address
P.O. BOX 64916, BALTIMORE, MD 21264-4916
(443) 481-6482
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D65156
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039732900
FEDERAL BLACK LUNG
—
05
—
012318800
—
MD
01
—
145724700
FEDERAL WRKMAN'S COMP
—
01
—
6875055
AETNA HMO
—
01
—
7631246
AETNA PPO
—
01
—
89372202
CAREFORST MARYLAND
—
01
—
S3990054
CAREFIRST/BLUE CHOICE
—
Enumeration date
01/18/2007
Last updated
05/27/2011
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