Individual
MOHAMED KHALEEM KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
Mailing address
2946 E BANNER GATEWAY DR, GILBERT, AZ 85234-2165
(480) 256-4500
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
232410
NY
2085R0001X
Radiation Oncology Physician
Primary
51224
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
AZ
01
—
0000000000
MEDICARE
AZ
05
—
02562861
—
NY
Enumeration date
07/07/2005
Last updated
11/01/2016
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