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General NPI Number Information
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NPI Number | 1427386507
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Entity Type | Organization
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Legal Business Name | REHAN KHAN, M.D., P.A.
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Dates
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Enumeration Date | 11/30/2009
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 4 W BROADWAY
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City | BEL AIR
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State | MD
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Zip | 21014-3546
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Country | US
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Telephone | 410-821-8444
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Fax | 410-821-8447
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Provider Business Mailing Address
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Address Line | 4 W BROADWAY
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City | BEL AIR
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State | MD
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Zip | 21014-3546
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Country | US
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Telephone | 443-243-8894
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Fax | 443-955-5736
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Authorized Official
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Title or Position | OWNER
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Name | REHAN AHMAD KHAN
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Credential | M.D.
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Telephone | 202-236-7338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | D0062300
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License Number State | MD
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