Individual
FAWAD J KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E CARROLL ST, SALISBURY, MD 21801
(800) 749-5191
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(800) 749-5191
(410) 630-7685
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
23587
WV
2086S0102X
Surgical Critical Care Physician
Primary
D0085739
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810016927
—
WV
Enumeration date
06/04/2009
Last updated
02/12/2020
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