MEDICARE: DR. AHMED KHAN MD

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
1	207RC0000X	Cardiovascular Disease Physician	MD049386	DC
2	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician	MD049386	DC

General Provider Information

NPI Number	:	1154742286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AHMED KHAN MD

Provider Business Mailing Address
First Line	:	106 IRVING ST NW STE 4800N
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2927
Country	:	US
Telephone Number	:	202-877-5800
Fax Number	:	202-877-5885

Provider Business Practice Location Address
First Line	:	106 IRVING ST NW STE 4800N
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2927
Country	:	US
Telephone Number	:	202-877-5800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2013
Last Update Date	:	12/12/2022

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