Individual
DR. MASOOD N KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD.,FACP
Contact information
Practice address
1401 BEATTIES FORD RD, CHARLOTTE, NC 28216-4549
(704) 347-0049
(704) 347-0049
Mailing address
1401 BEATTIES FORD RD, CHARLOTTE, NC 28216-4549
(704) 347-0049
(704) 347-0049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20426
SC
207RC0000X
Cardiovascular Disease Physician
Primary
35007
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0220P
GROUP BLUE CROSS BLUE
NC
01
—
48892
BLUE CROSS BLUE SHIELD
NC
05
—
890220P
—
NC
05
—
8948892
—
NC
05
—
N35007
—
SC
Enumeration date
10/06/2005
Last updated
12/10/2018
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