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NPI Code Detail

MEDICARE: REEMA KHAN M.D.

MEDICARE: REEMA 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician1528464823IL
2282N00000XGeneral Acute Care Hospital
3207ZF0201XForensic Pathology Physician1528464823IL

General Provider Information

NPI Number : 1528464823
Entity Type Code : Individual
Provider Name (Legal Business Name) : REEMA KHAN M.D.
Provider Business Mailing Address
First Line : 1111 W RUGELEY CT
Second Line :
City : ADDISON
State : IL
Zip : 60101-2154
Country : US
Telephone Number : 630-543-5894
Fax Number :
Provider Business Practice Location Address
First Line : 2121 W HARRISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3705
Country : US
Telephone Number : 630-340-7425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2014
Last Update Date : 06/10/2019

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