Individual
MR. MAHAMID ALI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6447 CERMAK RD, BERWYN, IL 60402-2311
(773) 254-1400
(312) 829-6375
Mailing address
966 W 21ST ST, CHICAGO, IL 60608-4511
(773) 254-1400
(312) 829-6375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019024670
IL
122300000X
Dentist
2005002250
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019024670
—
IL
05
—
407262500
—
MO
Enumeration date
08/11/2005
Last updated
07/02/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us