MEDICARE: AKHTAR S 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	208600000X	Surgery Physician	MD071492L	PA
2	2086S0102X	Surgical Critical Care Physician	28014	WV
3	2086S0102X	Surgical Critical Care Physician	MD071492L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447217492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKHTAR S KHAN MD

Provider Business Mailing Address
First Line	:	2580 HAYMAKER RD STE 304
Second Line	:
City	:	MONROEVILLE
State	:	PA
Zip	:	15146-3500
Country	:	US
Telephone Number	:	412-858-3070
Fax Number	:	412-858-3076

Provider Business Practice Location Address
First Line	:	138 N WOODLAND RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-2850
Country	:	US
Telephone Number	:	412-404-2936
Fax Number	:

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

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	02/10/2022

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Directions to “ AKHTAR S KHAN MD” Practice Location

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