Individual
RAO ALI HASHIM KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 CROSSROADS DR, SUITE 205, OWINGS MILLS, MD 21117-5421
(410) 602-7792
(410) 602-9889
Mailing address
1589 SULPHUR SPRING RD, SUITE 109, BALTIMORE, MD 21227-2542
(410) 536-5400
(410) 737-2168
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D0081942
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110899900
—
MD
01
—
526046Y56
MEDICARE PTAN
MD
Enumeration date
05/19/2008
Last updated
11/03/2016
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