Organization
PREMIER PHYSICIAN PARTNERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADNAN RAHMAN KHAN MD (PRESIDENT)
(703) 282-1796
Entity
Organization
Contact information
Practice address
5859 DONOVAN LN, ELLICOTT CITY, MD 21043-6903
(703) 282-1796
Mailing address
5859 DONOVAN LN, ELLICOTT CITY, MD 21043-6903
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D58291
MD
207ZC0006X
Clinical Pathology Physician
—
—
207ZC0500X
Cytopathology Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZM0300X
Medical Microbiology Physician
—
—
207ZN0500X
Neuropathology Physician
—
—
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
—
—
207ZP0101X
Anatomic Pathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
207ZP0213X
Pediatric Pathology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10416554
CAQH PROVIDER ID
MD
01
—
10436137
CAQH PROVIDER ID
MD
01
—
12542361
CAQH PROVIDER ID
MD
01
—
12780303
CAQH PROVIDER ID
MD
01
—
13721023
CAQH PROVIDER ID
MD
Enumeration date
11/24/2017
Last updated
11/24/2017
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