Individual
GEORGE KHACHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,P.A.
Contact information
Practice address
625 KENT AVE, SUITE 301, CUMBERLAND, MD 21502-3794
(301) 724-1151
(301) 724-1894
Mailing address
912 BISHOP WALSH RD, CUMBERLAND, MD 21502-1806
(301) 724-1151
(301) 724-1894
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D38971
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069751600
—
MD
05
—
3810004421
—
WV
Enumeration date
07/06/2006
Last updated
07/08/2007
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