Individual
MOHAMMAD ADEEM KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 FORT EVANS RD NE STE 103, LEESBURG, VA 20176-4491
(571) 252-9953
(571) 252-9954
Mailing address
52 SCHOOLHOUSE RD, ALBANY, NY 12203-3850
(518) 258-7210
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
028236
NY
363A00000X
Physician Assistant
Primary
0110009696
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/02/2019
Last updated
01/19/2024
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