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1659891109

NPI Code Detail

MEDICARE: MOHAMMAD KHAN DO

MEDICARE: MOHAMMAD KHAN DO

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	208M00000X	Hospitalist Physician	4081	WV
2	208M00000X	Hospitalist Physician	34.018329	OH
3	207R00000X	Internal Medicine Physician	34.018329	OH
4	207R00000X	Internal Medicine Physician	4081	WV
5	207R00000X	Internal Medicine Physician	259586	NC
6	208M00000X	Hospitalist Physician	2020-03211	NC

General Provider Information

NPI Number	:	1659891109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMAD KHAN DO

Provider Business Mailing Address
First Line	:	420 N CENTER ST
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-5033
Country	:	US
Telephone Number	:	828-315-3360
Fax Number	:	828-315-5228

Provider Business Practice Location Address
First Line	:	420 N CENTER ST
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-5033
Country	:	US
Telephone Number	:	828-315-3360
Fax Number	:	828-315-5228

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

Provider Enumeration Date	:	06/26/2017
Last Update Date	:	04/27/2026

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Directions to “ MOHAMMAD KHAN DO” Practice Location

Language	Start Address	Practice Location

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