Individual
HUMAYON B KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-3000
Mailing address
960 MASSACHUSETTS AVE, BOSTON, MA 02118-2620
(174) 145-4056
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
216719
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
216719
MA
Other
Enumeration date
06/02/2006
Last updated
03/05/2025
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