Individual
DR. AYAZ M KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
553 E 3RD ST, PAIN MANAGEMENT OF WILLIAMSPORT, WILLIAMSPORT, PA 17701-5316
(570) 323-3106
(570) 323-3606
Mailing address
553 E 3RD ST, PAIN MANAGEMENT OF WILLIAMSPORT,LLC, WILLIAMSPORT, PA 17701-5316
(570) 323-3106
(570) 323-3606
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
002185
NY
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
MD435280
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
251006
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD435280
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629052188
NPI
—
Enumeration date
11/30/2005
Last updated
06/27/2016
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