Khan, Ejaz M
Khan, Ejaz M is an individual health care provider with primary practice located at 20 Watkins Park Dr , Upper Marlboro MD 20774-1628. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Khan, Ejaz M can be contacted via phone (301) 350-8500.Contact Information
Primary practice address
20 Watkins Park Dr
Upper Marlboro MD 20774-1628
Phone: (301) 350-8500
Fax: (540) 350-8503
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 0101239751 | Virginia |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 25MA09948900 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0092421 | Maryland |
Profile Details
| NPI number | 1669416160 |
|---|---|
| LBN Legal business name | Khan, Ejaz M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Jan 9th, 2024 - about 10 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669416160 | NPPES |
| West Virginia | MEDICAID | 3810010077 | |
| West Virginia | MEDICAID | 1669416160 |
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