Individual
DR. MAHRUKH S KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-6255
Mailing address
932 OLD FORD RD, HUNTINGDON VALLEY, PA 19006-8605
(215) 456-6255
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD422443
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009482760001
—
PA
Enumeration date
02/16/2006
Last updated
01/29/2008
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