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General NPI Number Information
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NPI Number | 1568431849
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Entity Type | Individual
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Provider Name | MOHAMMAD M KHAN MD
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Gender | Male
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 11/06/2019
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Provider Practice Location Address
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Address Line | 11110 MEDICAL CAMPUS RD STE 130
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City | HAGERSTOWN
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State | MD
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Zip | 21742-6799
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Country | US
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Telephone | 301-665-4710
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Fax | 301-665-4711
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Provider Business Mailing Address
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Address Line | 3421 CONCORD RD
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City | YORK
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State | PA
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Zip | 17402-9001
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Country | US
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Telephone | 717-851-1405
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Fax | 717-639-3955
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 61207-20
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 01050742A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | D88494
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License Number State | MD
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