Organization
QADAR KHAN MD AND ASSOCIATES,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QADAR KHAN MD (PRESIDENT)
(215) 440-9547
Entity
Organization
Contact information
Practice address
702 W GIRARD AVE, PHILADELPHIA, PA 19123-1313
(215) 947-8329
Mailing address
2239 DEER PATH RD, HUNTINGDON VALLEY, PA 19006-5905
(215) 440-9547
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD033303L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006275620002
—
PA
01
—
0062756201
AMERICHOICE OF PA
PA
01
—
02824
HEALTH PARTNER
PA
01
—
1001488
KEYSTONE MERCY
PA
01
—
149580
BC BS OF PA
PA
Enumeration date
07/24/2009
Last updated
07/28/2009
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