MEDICARE: DR. KASHIF ABDULLAH KHAN MD

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
1	2084P0800X	Psychiatry Physician	MD447873	PA

General Provider Information

NPI Number	:	1932359825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KASHIF ABDULLAH KHAN MD

Provider Business Mailing Address
First Line	:	100 N ACADEMY AVE
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-4903
Country	:	US
Telephone Number	:	570-271-6516
Fax Number	:	570-271-5814

Provider Business Practice Location Address
First Line	:	8 CHURCH ST
Second Line	:
City	:	WILKES BARRE
State	:	PA
Zip	:	18702-3508
Country	:	US
Telephone Number	:	570-271-6516
Fax Number	:	570-271-5814

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2008
Last Update Date	:	02/06/2026

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