| Khan Medical Associates Llc | |
|
200 Penn Ave Pittsburgh PA 15221-2156 | |
| (412) 242-8860 | |
| (412) 242-8863 |
| Full Name | Khan Medical Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Penn Ave, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Abdul Q Khan (OWNER) |
| Authorized Official Contact | 4122428860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Khan Medical Associates Llc 200 Penn Ave Pittsburgh PA 15221-2156 Ph: (412) 242-8860 | Khan Medical Associates Llc 200 Penn Ave Pittsburgh PA 15221-2156 Ph: (412) 242-8860 |
| NPI Number | 1497938922 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 12/06/2007 |
| Medicare PECOS PAC ID | 0840282711 |
|---|---|
| Medicare Enrollment ID | O20040331001244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497938922 | NPI | - | NPPES |
| 1401556 | Other | PA | BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Abdul Q Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053349480 PECOS PAC ID: 8527107572 Enrollment ID: I20091211000492 |
| Provider Name | Heather J Pavlinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811249196 PECOS PAC ID: 7315183357 Enrollment ID: I20130418000298 |
| Provider Name | Paul Debes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891175840 PECOS PAC ID: 3375669120 Enrollment ID: I20150910000652 |
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