Abeda Ali Khan, Md Pa | |
10820 Hickory Ridge Rd Columbia MD 21044-3622 | |
(410) 730-9526 | |
Not Available |
Full Name | Abeda Ali Khan, Md Pa |
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Speciality | Internal Medicine |
Location | 10820 Hickory Ridge Rd, Columbia, Maryland |
Authorized Official Name and Position | Abeda Ali Khan (DOCTOR) |
Authorized Official Contact | 4107309526 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Abeda Ali Khan, Md Pa 8118 Brookwood Farm Rd Fulton MD 20759-9658 Ph: (410) 730-9526 | Abeda Ali Khan, Md Pa 10820 Hickory Ridge Rd Columbia MD 21044-3622 Ph: (410) 730-9526 |
NPI Number | 1992998595 |
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Provider Enumeration Date | 08/27/2007 |
Last Update Date | 08/27/2007 |
Medicare PECOS PAC ID | 7012051220 |
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Medicare Enrollment ID | O20100225000256 |
Identifier | Type | State | Issuer |
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1992998595 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | D43323 (Maryland) | Primary |
Provider Name | Abeda Ali Khan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407894140 PECOS PAC ID: 1456495654 Enrollment ID: I20100225000178 |
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