Individual
MOHAMMAD KHALID KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4949 LIBERTY LN STE 320, ALLENTOWN, PA 18106-9048
(484) 226-0898
(610) 395-4564
Mailing address
6594 RUTHERFORD DR, MACUNGIE, PA 18062-8049
(717) 329-0712
(610) 366-1063
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD056299L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001356565
PA BLUE SHIELD
PA
05
—
0018758410004
—
PA
01
—
50044330
CAPITAL BLUE CROSS
PA
Enumeration date
06/27/2006
Last updated
08/26/2024
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