Organization
M.O. KHAN, MD.,PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
M. O. KHAN M.D. (OWNER)
(803) 259-5150
Entity
Organization
Contact information
Practice address
55 IRVING ST, BARNWELL, SC 29812-1535
(803) 259-5150
(803) 259-9078
Mailing address
55 IRVING ST, BARNWELL, SC 29812-1535
(803) 259-5150
(803) 259-9078
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
8422
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084223
—
SC
Enumeration date
04/28/2008
Last updated
04/28/2008
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