MEDICARE: NOMAN 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	390200000X	Student in an Organized Health Care Education/Training Program	RTL23-1052	NC

General Provider Information

NPI Number	:	1841074911
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOMAN KHAN MD

Provider Business Mailing Address
First Line	:	1105 W NC HIGHWAY 54 BYP
Second Line	:	W4
City	:	CHAPEL HILL
State	:	NC
Zip	:	27516
Country	:	US
Telephone Number	:	563-265-3290
Fax Number	:

Provider Business Practice Location Address
First Line	:	2034 OLD CLINIC BLDG., CB# 7510
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27599-7510
Country	:	US
Telephone Number	:	984-215-8512
Fax Number	:	919-962-9625

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

Provider Enumeration Date	:	08/21/2023
Last Update Date	:	10/27/2023

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