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General NPI Number Information
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NPI Number | 1982880316
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Entity Type | Individual
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Provider Name | MOHAMMAD FAWWAD KHAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/16/2008
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 500 ST LUKES DR
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City | LEHIGHTON
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State | PA
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Zip | 18235-5000
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Country | US
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Telephone | 484-526-6643
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Fax | 484-526-4658
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Provider Business Mailing Address
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Address Line | 500 ST LUKES DR
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City | LEHIGHTON
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State | PA
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Zip | 18235-5000
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Country | US
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Telephone | 484-526-6643
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Fax | 484-526-4658
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD433774
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA08352800
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License Number State | NJ
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