MEDICARE: MUKARRAM ALI KHAN D.O.

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	34.008823	OH
2	208VP0014X	Interventional Pain Medicine Physician	13249	WI

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
2	000000488997	OTHER	OH	ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	7001837	OTHER	OH	AETNA

General Provider Information

NPI Number	:	1851409122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MUKARRAM ALI KHAN D.O.

Provider Business Mailing Address
First Line	:	PO BOX 340453
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45434-0453
Country	:	US
Telephone Number	:	937-280-4970
Fax Number	:	937-630-4578

Provider Business Practice Location Address
First Line	:	2619 COMMONS BLVD STE 130
Second Line	:
City	:	BEAVERCREEK
State	:	OH
Zip	:	45431-3840
Country	:	US
Telephone Number	:	937-280-4970
Fax Number	:

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

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	06/11/2026

Similar Medicare Providers

1053600114 — ANESTHESIA AND PAIN MANAGEMENT LLC
Practice Location Address:

2619 COMMONS BLVD STE 130
BEAVERCREEK, OH
45431-3840

Practice Phone: 937-280-4970
Practice Fax: 937-630-4578

1063496586 — DR. ABDUL QUDOOS SHAHID M.D.
Practice Location Address:

2619 COMMONS BLVD STE 130
BEAVERCREEK, OH
45431-3840

Practice Phone: 937-280-4970
Practice Fax:

1952780132 — ANESTHESIA AND PAIN MANAGEMENT LLC
Practice Location Address:

2619 COMMONS BLVD STE 130
BEAVERCREEK, OH
45431-3840

Practice Phone: 937-280-4541
Practice Fax:

1104668870 — APEX THERAPUTICS LLC
Practice Location Address:

2619 COMMONS BLVD STE 130
BEAVERCREEK, OH
45431-3840

Practice Phone: 937-280-4970
Practice Fax:

1922631761 — MICHAEL PATRICK LOREY PHYSICIAN ASSISTANT
Practice Location Address:

2619 COMMONS BLVD
BEAVERCREEK, OH
45431-3817

Practice Phone: 937-280-4970
Practice Fax:

1902268402 — DR. MICHAEL PIGNATIELLO PH.D.
Practice Location Address:

2619 COMMONS BLVD
BEAVERCREEK, OH
45431-3817

Practice Phone: 937-280-4970
Practice Fax:

Directions to “ MUKARRAM ALI KHAN D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.