Khan, Mariam

Khan, Mariam is an individual health care provider with primary practice located at 810 Sir Thomas Ct Ste 101 , Harrisburg PA 17109-4839. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Khan, Mariam can be contacted via phone (717) 614-4420.

Contact Information

Primary practice address
810 Sir Thomas Ct Ste 101 Harrisburg PA 17109-4839
Phone: (717) 614-4420
Fax: (717) 614-4421
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 57.014380 Ohio
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD439594 Pennsylvania

Profile Details

NPI number 1346411824
LBN Legal business name Khan, Mariam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2008
Last updated Dec 10th, 2020 - about 5 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 1346411824 NPPES
Pennsylvania MEDICAID 102537799

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