Individual
DR. MEHERNOSH PHEROZE KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
631B NORTH STREET, PITTSFIELD, MA 01201-4109
(413) 499-2054
(413) 445-9174
Mailing address
55 PITTSFILED RD, LENOX, MA 01240
(413) 344-1700
(413) 728-8790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD038265L
PA
207QA0505X
Adult Medicine Physician
25344
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008041750009
—
PA
05
—
110093827A
—
MA
Enumeration date
10/26/2005
Last updated
05/23/2018
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