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NPI Code Detail

MEDICARE: DR. MUHAMMAD AKRAM KHAN M.D.

MEDICARE: DR. MUHAMMAD AKRAM 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
12084P0800XPsychiatry PhysicianMD 422446PA

General Provider Information

NPI Number : 1356377428
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MUHAMMAD AKRAM KHAN M.D.
Provider Business Mailing Address
First Line : 335 SOUTH FRANKLIN STREET
Second Line : C/O CHILDREN'S SERVICE CENTER
City : WILKES-BARRE
State : PA
Zip : 18702
Country : US
Telephone Number : 570-825-6425
Fax Number : 570-829-3337
Provider Business Practice Location Address
First Line : 335 S FRANKLIN ST
Second Line : C/O CHILDREN'S SERVICE CENTER
City : WILKES BARRE
State : PA
Zip : 18702-3808
Country : US
Telephone Number : 570-825-6425
Fax Number : 570-829-3337
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 07/08/2007

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