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NPI Code Detail

MEDICARE: DR. MOHAMMAD LAWANGEEN KHAN M.D.

MEDICARE: DR. MOHAMMAD LAWANGEEN KHAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry PhysicianMD458850PA

General Provider Information

NPI Number : 1073824017
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMMAD LAWANGEEN KHAN M.D.
Provider Business Mailing Address
First Line : 265 E LEHIGH AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19125-1013
Country : US
Telephone Number : 215-427-1500
Fax Number :
Provider Business Practice Location Address
First Line : 265 E LEHIGH AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19125-1013
Country : US
Telephone Number : 215-427-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2010
Last Update Date : 03/02/2017

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