Healthcare Provider Details

I. General information

NPI: 1699871699
Provider Name (Legal Business Name): IMRAN A KHAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46000 CENTER OAK PLZ STE 260
STERLING VA
20166-6579
US

IV. Provider business mailing address

46000 CENTER OAK PLZ STE 260
STERLING VA
20166-6579
US

V. Phone/Fax

Practice location:
  • Phone: 703-970-6464
  • Fax: 703-970-6468
Mailing address:
  • Phone: 703-970-6464
  • Fax: 703-970-6468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0101242630
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number0101242630
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: