Azim J Khan, MD is a
Dermatology physician based in Freeport, Illinois. Azim J Khan is licensed to practice in Illinois (license number ) and his current practice location is 1036 W Stephenson St, Freeport, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 599-6000.
NPI number for Azim J Khan is 1174596696 and his current mailing address is 421 W Exchange St, Po Box 268, Freeport, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174596696.
Physician's Profile
Full Name | Azim J Khan |
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Gender | Male |
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Speciality | Dermatology |
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Location | 1036 W Stephenson St, Freeport, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174596696
- Provider Enumeration Date: 02/08/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Azim J Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174596696 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Azim J Khan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Azim J Khan, MD 421 W Exchange St, Po Box 268, Freeport, IL 61032-4030 Ph: () - | Azim J Khan, MD 1036 W Stephenson St, Freeport, IL 61032-4865 Ph: (815) 599-6000 |
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