| Ahmad Khan Md Llc | |
|
10715 Charter Dr Suite 270 Columbia MD 21044-2882 | |
| (443) 896-4920 | |
| (443) 576-4484 |
| Full Name | Ahmad Khan Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10715 Charter Dr, Columbia, Maryland |
| Authorized Official Name and Position | Ahmad Khan (OWNER/DIRECTOR) |
| Authorized Official Contact | 4103107594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmad Khan Md Llc Po Box 77 Glenelg MD 21737-0077 Ph: (443) 896-4920 | Ahmad Khan Md Llc 10715 Charter Dr Suite 270 Columbia MD 21044-2882 Ph: (443) 896-4920 |
| NPI Number | 1598187148 |
|---|---|
| Provider Enumeration Date | 01/16/2014 |
| Last Update Date | 04/14/2014 |
| Medicare PECOS PAC ID | 0547483117 |
|---|---|
| Medicare Enrollment ID | O20140529000741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598187148 | NPI | - | NPPES |
| 978301600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | D0056066 (Maryland) | Primary |
| Provider Name | Ahmad N Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538120613 PECOS PAC ID: 7012939200 Enrollment ID: I20060103000244 |
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