Khan, Fawad J

Khan, Fawad J is an individual health care provider with primary practice located at 100 E Carroll St , Salisbury MD 21801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Khan, Fawad J can be contacted via phone (800) 749-5191.

Contact Information

Primary practice address
100 E Carroll St Salisbury MD 21801
Phone: (800) 749-5191
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 23587 West Virginia
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X D0085739 Maryland

Profile Details

NPI number 1417183435
LBN Legal business name Khan, Fawad J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2009
Last updated Feb 12th, 2020 - about 4 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 1417183435 NPPES
West Virginia MEDICAID 3810016927

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