Maryam Khan Md Llc | |
1205 York Rd Ste 11 Timonium MD 21093-6211 | |
(443) 577-4010 | |
Not Available |
Full Name | Maryam Khan Md Llc |
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Speciality | Clinic/Center |
Location | 1205 York Rd Ste 11, Timonium, Maryland |
Authorized Official Name and Position | Maryam Khan (MD) |
Authorized Official Contact | 4435774010 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Maryam Khan Md Llc 1205 York Rd Ste 11 Timonium MD 21093-6211 Ph: (443) 577-4010 | Maryam Khan Md Llc 1205 York Rd Ste 11 Timonium MD 21093-6211 Ph: (443) 577-4010 |
NPI Number | 1841994498 |
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Provider Enumeration Date | 03/28/2023 |
Last Update Date | 07/21/2023 |
Medicare PECOS PAC ID | 5890152516 |
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Medicare Enrollment ID | O20230612000027 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841994498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Maryam Khan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144752908 PECOS PAC ID: 3971928664 Enrollment ID: I20200728003129 |
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