M. Wajeed Khan, M.d, | |
12016 Georgia Ave Wheaton MD 20902-2004 | |
(301) 942-2105 | |
Not Available |
Full Name | M. Wajeed Khan, M.d, |
---|---|
Speciality | Internal Medicine |
Location | 12016 Georgia Ave, Wheaton, Maryland |
Authorized Official Name and Position | Mohamed Wajeed Khan (PHYSICIAN) |
Authorized Official Contact | 3019422105 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
M. Wajeed Khan, M.d, 12016 Georgia Ave Wheaton MD 20902-2004 Ph: () - | M. Wajeed Khan, M.d, 12016 Georgia Ave Wheaton MD 20902-2004 Ph: (301) 942-2105 |
NPI Number | 1811226012 |
---|---|
Provider Enumeration Date | 12/17/2009 |
Last Update Date | 12/17/2009 |
Medicare PECOS PAC ID | 3971644725 |
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Medicare Enrollment ID | O20091231000097 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811226012 | NPI | - | NPPES |
356121600 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D0032817 (Maryland) | Primary |
Provider Name | Wajeed Khan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588676027 PECOS PAC ID: 4082755830 Enrollment ID: I20091231000084 |
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