Individual
ALI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
64 MEDICAL CENTER DR, MORGANTOWN, WV 26505-3409
(304) 598-4500
Mailing address
64 MEDICAL CENTER DR, MORGANTOWN, WV 26505-3409
(304) 598-4500
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
036165478
IL
207RH0003X
Hematology & Oncology Physician
1658
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2020
Last updated
06/12/2024
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