| Mohammad K. Khan, M.d., Llc | |
|
4949 Liberty Ln Ste 320 Allentown PA 18106-9048 | |
| (717) 319-1706 | |
| (610) 395-4564 |
| Full Name | Mohammad K. Khan, M.d., Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4949 Liberty Ln Ste 320, Allentown, Pennsylvania |
| Authorized Official Name and Position | Mohammad Khalid Khan (OWNER) |
| Authorized Official Contact | 7173191706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammad K. Khan, M.d., Llc 6594 Rutherford Dr Macungie PA 18062-8049 Ph: (717) 319-1706 | Mohammad K. Khan, M.d., Llc 4949 Liberty Ln Ste 320 Allentown PA 18106-9048 Ph: (717) 319-1706 |
| NPI Number | 1184946428 |
|---|---|
| Provider Enumeration Date | 02/26/2010 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Medicare PECOS PAC ID | 2466576327 |
|---|---|
| Medicare Enrollment ID | O20100830000110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184946428 | NPI | - | NPPES |
| 102498458 0001 | Medicaid | PA | |
| 2510096 | Other | PA | HIGHMARK BLUE SHIELD |
| 3826089000 | Other | INDEPENDENCE BLUE CROSS | |
| 7651921 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD056299-L (Pennsylvania) | Primary |
| Provider Name | Mohammad K Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578590212 PECOS PAC ID: 3072571900 Enrollment ID: I20041227000009 |
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