MEDICARE: FAHAD SAEED KHAN

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
2	2084N0400X	Neurology Physician	H0101075	MD

General Provider Information

NPI Number	:	1922569755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAHAD SAEED KHAN

Provider Business Mailing Address
First Line	:	10401 HOSPITAL DR STE 102
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-3150
Country	:	US
Telephone Number	:	301-877-4540
Fax Number	:	301-856-3470

Provider Business Practice Location Address
First Line	:	10401 HOSPITAL DR STE 102
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-3150
Country	:	US
Telephone Number	:	301-877-4540
Fax Number	:	301-856-3470

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

Provider Enumeration Date	:	03/26/2019
Last Update Date	:	09/24/2024

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Directions to “ FAHAD SAEED KHAN ” Practice Location

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