| Tahir Hassan Khan Md Pa Inc | |
|
12305 Willscott Pl Glen Allen VA 23059-7621 | |
| (804) 441-9000 | |
| (804) 441-9001 |
| Full Name | Tahir Hassan Khan Md Pa Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12305 Willscott Pl, Glen Allen, Virginia |
| Authorized Official Name and Position | Tahir Khan (OWNER) |
| Authorized Official Contact | 8044419000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tahir Hassan Khan Md Pa Inc 12305 Willscott Pl Glen Allen VA 23059-7621 Ph: (804) 714-6291 | Tahir Hassan Khan Md Pa Inc 12305 Willscott Pl Glen Allen VA 23059-7621 Ph: (804) 441-9000 |
| NPI Number | 1881448017 |
|---|---|
| Provider Enumeration Date | 04/15/2024 |
| Last Update Date | 08/30/2024 |
| Medicare PECOS PAC ID | 7113369489 |
|---|---|
| Medicare Enrollment ID | O20240531002517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881448017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tahir H Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942250378 PECOS PAC ID: 7517980345 Enrollment ID: I20080911000335 |
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