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NPI Code Detail

MEDICARE: DR. KHIZRA ALAM KHAN M.D.

MEDICARE: DR. KHIZRA ALAM KHAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician0101252566VA
2208M00000XHospitalist Physician0101252566VA

General Provider Information

NPI Number : 1164650073
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KHIZRA ALAM KHAN M.D.
Provider Business Mailing Address
First Line : 43215 SOMERSET HILLS TER
Second Line :
City : ASHBURN
State : VA
Zip : 20147-5248
Country : US
Telephone Number : 571-244-9517
Fax Number :
Provider Business Practice Location Address
First Line : 43215 SOMERSET HILLS TER
Second Line :
City : ASHBURN
State : VA
Zip : 20147-5248
Country : US
Telephone Number : 571-244-9517
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2009
Last Update Date : 05/04/2020

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