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NPI Code Detail

MEDICARE: AMID KHAN MD

MEDICARE:   AMID  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
1207RI0011XInterventional Cardiology PhysicianMD073707LPA

General Provider Information

NPI Number : 1447255260
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMID KHAN MD
Provider Business Mailing Address
First Line : 100 E LANCASTER AVE
Second Line : JD LANKENAU PAVILION, MEZZANINE
City : WYNNEWOOD
State : PA
Zip : 19096-3433
Country : US
Telephone Number : 484-476-1000
Fax Number : 484-476-9000
Provider Business Practice Location Address
First Line : 100 E LANCASTER AVE
Second Line : JD LANKENAU PAVILION, MEZZANINE
City : WYNNEWOOD
State : PA
Zip : 19096-3433
Country : US
Telephone Number : 484-476-1000
Fax Number : 484-476-9000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 10/16/2015

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