Healthcare Provider Details

I. General information

NPI: 1225957111
Provider Name (Legal Business Name): ARMAN KHAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3805 MELROSE AVE NW
ROANOKE VA
24017-2717
US

IV. Provider business mailing address

3805 MELROSE AVENW
ROANOKE VA
24019
US

V. Phone/Fax

Practice location:
  • Phone: 540-355-4808
  • Fax:
Mailing address:
  • Phone: 540-355-4808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number100039850
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: