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NPI Code Detail

MEDICARE: QADAR KHAN M.D.

MEDICARE:   QADAR  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
1207R00000XInternal Medicine PhysicianMD033303LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1149580OTHERPABC BS OF PA
202824OTHERPAHEALTH PARTNERS PA
30062756201OTHERPAAMERICHOICE OF PA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
51001488OTHERPAKEYSTONE MERCY HEALTH PLA

General Provider Information

NPI Number : 1629137666
Entity Type Code : Individual
Provider Name (Legal Business Name) : QADAR KHAN M.D.
Provider Business Mailing Address
First Line : 2239 DEER PATH RD
Second Line :
City : HUNTINGDON VALLEY
State : PA
Zip : 19006-5905
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 702 W GIRARD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19123-1312
Country : US
Telephone Number : 215-440-9547
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 03/05/2008

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Directions to “ QADAR KHAN M.D.” Practice Location

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