MEDICARE: MUHAMMAD AKMAL 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	207RI0011X	Interventional Cardiology Physician	04-31421	KS

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	:	1669470340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUHAMMAD AKMAL KHAN MD

Provider Business Mailing Address
First Line	:	100 W ROSS BLVD STE 2B
Second Line	:
City	:	DODGE CITY
State	:	KS
Zip	:	67801-7217
Country	:	US
Telephone Number	:	620-225-3900
Fax Number	:	620-225-3901

Provider Business Practice Location Address
First Line	:	100 W ROSS BLVD STE 2B
Second Line	:
City	:	DODGE CITY
State	:	KS
Zip	:	67801-7217
Country	:	US
Telephone Number	:	620-225-3900
Fax Number	:	620-225-3901

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	11/30/2015

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