Individual
DR. EJAZ M KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 WATKINS PARK DR, UPPER MARLBORO, MD 20774-1628
(301) 350-8500
(540) 350-8503
Mailing address
20 WATKINS PARK DR, UPPER MARLBORO, MD 20774-1628
(301) 350-8500
(540) 350-8503
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0092421
MD
207RC0001X
Clinical Cardiac Electrophysiology Physician
0101239751
VA
207RC0001X
Clinical Cardiac Electrophysiology Physician
25MA09948900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669416160
—
VA
05
—
3810010077
—
WV
Enumeration date
06/15/2006
Last updated
01/09/2024
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