Healthcare Provider Details

I. General information

NPI: 1649799024
Provider Name (Legal Business Name): AHSAN KHAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2017
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 EXETER DR STE 103
WINCHESTER VA
22603-8614
US

IV. Provider business mailing address

PO BOX 71183
CHARLOTTE NC
28272-1183
US

V. Phone/Fax

Practice location:
  • Phone: 541-686-1600
  • Fax: 541-686-1601
Mailing address:
  • Phone: 541-686-1600
  • Fax: 541-686-1601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number0101286866
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: