Individual
DR. HIDAYAT KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 TOLL HOUSE AVE, FREDERICK, MD 21701-4564
(301) 694-4935
(301) 694-0389
Mailing address
4221 BUCKSKIN WOOD DR, ELLICOTT CITY, MD 21042-1217
(301) 694-4935
(301) 694-0389
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
D0023240
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K347
BLUECROSS BLUESHIELD OF M
MD
Enumeration date
02/21/2006
Last updated
11/29/2011
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