Individual
MOHAMED F. KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1126 S MAIN ST, DAYTON, OH 45409-2687
(937) 223-3053
(937) 853-0166
Mailing address
3737 SOUTHERN BLVD STE 3000, KETTERING, OH 45429-1262
(937) 531-0200
(937) 531-0198
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35.082601
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2431194
—
OH
01
—
4112824
MIDWEST U/S OHMEDI
OH
01
—
P00058657
RAILROAD MEDICARE
OH
01
—
P0007569
MIDWEST U/S RR MEDI
OH
Enumeration date
03/17/2006
Last updated
01/19/2021
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