Khan, Basharath Mohammed Ali

Khan, Basharath Mohammed Ali is an individual health care provider with primary practice located at 2000 Golf Rd , Rolling Meadows IL 60008-4216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Khan, Basharath Mohammed Ali can be contacted via phone (847) 871-1800.

Contact Information

Primary practice address
2000 Golf Rd Rolling Meadows IL 60008-4216
Phone: (847) 871-1800
Fax: (847) 871-5777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-131390 Illinois
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036131390 Illinois

Profile Details

NPI number 1205153053
LBN Legal business name Khan, Basharath Mohammed Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2010
Last updated May 7th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205153053 NPPES
Illinois MEDICAID 036131390

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