Organization
RICHMOND PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAMSUL A KHAN MD (PHYSICIAN OWNER)
(910) 895-4140
Entity
Organization
Contact information
Practice address
1219 ROCKINGHAM ROAD, SUITE 3, ROCKINGHAM, NC 28379
(910) 895-4140
(910) 895-4091
Mailing address
1219 ROCKINGHAM ROAD, SUITE 3, ROCKINGHAM, NC 28379
(910) 895-4140
(910) 895-4091
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9601645
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1030A
BCBS
NC
05
—
891030A
—
NC
Enumeration date
12/12/2006
Last updated
04/21/2009
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