Healthcare Provider Details

I. General information

NPI: 1609905132
Provider Name (Legal Business Name): SALWA KHAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4940 EASTERN AVE
BALTIMORE MD
21224-2735
US

IV. Provider business mailing address

5740 BROADWAY
BRONX NY
10463-4140
US

V. Phone/Fax

Practice location:
  • Phone: 215-590-7101
  • Fax:
Mailing address:
  • Phone: 929-920-5437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD437293
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number327213
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD69647
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: