Organization
AZAD KHAN M.D P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZAD ALI KHAN M.D (PRESIDENT)
(610) 520-9311
Entity
Organization
Contact information
Practice address
5402 WEST GIRARD AVE, PHILADELPHIA, PA 19131-3126
(215) 477-3900
(215) 477-5006
Mailing address
504 CRAIG LN, VILLANOVA, PA 19085-1902
(610) 520-9311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD039585L
PA
207R00000X
Internal Medicine Physician
MD071714L
PA
207R00000X
Internal Medicine Physician
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Other
Enumeration date
06/04/2007
Last updated
01/23/2008
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