Healthcare Provider Details

I. General information

NPI: 1437565868
Provider Name (Legal Business Name): AYESHA ABID KHAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2014
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 BEECHVIEW CT
BEL AIR MD
21015-5773
US

IV. Provider business mailing address

1710 BEECHVIEW CT
BEL AIR MD
21015-5773
US

V. Phone/Fax

Practice location:
  • Phone: 717-829-1218
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number27809
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberMT207127
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: