Organization
MOHAMMAD K. KHAN, M.D., LLC
Active
Organization
MOHAMMAD K. KHAN, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD KHALID KHAN M.D. (OWNER)
(717) 319-1706
Entity
Organization
Contact information
Practice address
4949 LIBERTY LN STE 320, ALLENTOWN, PA 18106-9048
(717) 319-1706
(610) 395-4564
Mailing address
6594 RUTHERFORD DR, MACUNGIE, PA 18062-8049
(717) 319-1706
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD056299-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102498458 0001
—
PA
01
—
2510096
HIGHMARK BLUE SHIELD
PA
01
—
3826089000
INDEPENDENCE BLUE CROSS
—
01
—
7651921
AETNA
—
Enumeration date
02/26/2010
Last updated
08/26/2024
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