Individual
MUHAMMAD OMER KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL # 1, BOSTON, MA 02118-2908
(617) 414-4929
Mailing address
1 BOSTON MEDICAL CTR PL # 1, BOSTON, MA 02118-2908
(617) 414-4929
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
264661
MA
207Q00000X
Family Medicine Physician
11016464
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
291124865
DRIVING LICENSE
NY
Enumeration date
04/26/2012
Last updated
02/11/2022
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