Organization
GEORGE KHACHAN, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE GORDON (OFFICE MANAGER)
(301) 724-1151
Entity
Organization
Contact information
Practice address
625 KENT AVE, SUITE 301, CUMBERLAND, MD 21502-3794
(301) 724-1151
(301) 724-1894
Mailing address
625 KENT AVE, SUITE 301, CUMBERLAND, MD 21502-3794
(301) 724-1151
(301) 724-1894
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D38971
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069751600
—
MD
Enumeration date
04/09/2012
Last updated
04/09/2012
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