Individual
ATIF KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 OLD ROAD NINE ACRE CORNER, JCB SUITE 500, CONCORD, MA 01742
(978) 287-3547
(978) 287-2949
Mailing address
131 OLD ROAD NINE ACRE CORNER, JCB SUITE 500, CONCORD, MA 01742
(978) 287-3547
(978) 287-2949
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
243890
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007312997
—
VA
01
—
188426
CARELINK
—
01
—
200026
LUNG
—
05
—
200212000
—
WV
01
—
236802
ANTHEM
WV
01
—
245780
ANTHEM
VA
01
—
5400143
CCN
—
01
—
541839718
C&O
—
01
—
54183971800
WV WORKERS COMPENSATION
—
01
—
541839718101
BS MOUNTAIN STATE
VA
01
—
541839718105
BS MOUNTAIN STATE
WV
01
—
5727853
CIGNA
—
01
—
7646497
AETNA
—
Enumeration date
06/16/2005
Last updated
11/15/2016
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