MEDICARE: DR. NADIA 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	207RH0000X	Hematology (Internal Medicine) Physician	MD61309134	WA
2	207RH0000X	Hematology (Internal Medicine) Physician	036169779	IL
3	207RX0202X	Medical Oncology Physician	MD61309134	WA
4	207RX0202X	Medical Oncology Physician	036169779	IL

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

General Provider Information

NPI Number	:	1659531499
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NADIA KHAN MD

Provider Business Mailing Address
First Line	:	1520 W HARRISON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-3106
Country	:	US
Telephone Number	:	800-226-2371
Fax Number	:	206-568-7043

Provider Business Practice Location Address
First Line	:	1520 W HARRISON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-3106
Country	:	US
Telephone Number	:	800-226-2371
Fax Number	:	206-568-7043

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

Provider Enumeration Date	:	06/16/2008
Last Update Date	:	07/03/2024

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