Individual
MOHAMMAD M KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 130, HAGERSTOWN, MD 21742-6799
(301) 665-4710
(301) 665-4711
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1405
(717) 639-3955
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
61207-20
WI
207RH0003X
Hematology & Oncology Physician
Primary
D88494
MD
207RX0202X
Medical Oncology Physician
01050742A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000269189
ANTHEM PIN # / ARNETT
IN
01
—
000000269200
ANTHEM PIN # / OIGL
IN
01
—
11319874
CAQH NUMBER
IN
05
—
200418760
—
IN
01
—
9397211
PHCS PID NUMBER
IN
Enumeration date
03/17/2006
Last updated
11/06/2019
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