Individual
DR. KANIZ RASUL KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 S BRYN MAWR AVE, H-WING, SUITE 321, BRYN MAWR, PA 19010-3121
(484) 337-4097
(484) 337-4082
Mailing address
1068 W BALTIMORE PIKE, MEDIA, PA 19063-5104
(610) 566-9400
(610) 627-4230
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD446686
PA
208M00000X
Hospitalist Physician
Primary
MD446686
PA
Other
Enumeration date
08/29/2012
Last updated
05/02/2017
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