MEDICARE: DR. MOHAMMAD ASIM 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	2084F0202X	Forensic Psychiatry Physician	C186409	CA
2	2084P0800X	Psychiatry Physician	16223	NV

General Provider Information

NPI Number	:	1245492263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMAD ASIM KHAN MD

Provider Business Mailing Address
First Line	:	304 S JONES BLVD # 363
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-2623
Country	:	US
Telephone Number	:	702-277-5709
Fax Number	:

Provider Business Practice Location Address
First Line	:	3080 REVERENCE HEIGHTS LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89138-6206
Country	:	US
Telephone Number	:	702-277-5709
Fax Number	:

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

Provider Enumeration Date	:	06/30/2008
Last Update Date	:	02/07/2026

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