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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