Individual
YUSUF MUJTABA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
423 N PENNSYLVANIA AVENUE, MORRISVILLE, PA 19067-6622
(215) 295-9131
(215) 736-8535
Mailing address
423 N PENNSYLVANIA AVENUE, MORRISVILLE, PA 19067-6622
(215) 295-9131
(215) 736-8535
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
MA04637800
NJ
207RP1001X
Pulmonary Disease Physician
Primary
MD039495L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016703610001
—
PA
01
—
0529502000
KEYSTONE
PA
05
—
3937101
—
NJ
01
—
987612
PABS
PA
Enumeration date
07/24/2006
Last updated
07/08/2007
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