MEDICARE: DR. MOHAMMAD BABAR 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
1	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	D59788	NY

General Provider Information

NPI Number	:	1659374866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMAD BABAR KHAN M.D.

Provider Business Mailing Address
First Line	:	1900 W CHANDLER BLVD
Second Line	:	PO BOX 15-336
City	:	CHANDLER
State	:	AZ
Zip	:	85224-8632
Country	:	US
Telephone Number	:	480-722-0239
Fax Number	:

Provider Business Practice Location Address
First Line	:	3195 S PRICE RD STE 150
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85248
Country	:	US
Telephone Number	:	480-678-0796
Fax Number	:	480-722-0240

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	06/11/2018

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