Khan, Mehernosh Pheroze

Khan, Mehernosh Pheroze is an individual health care provider with primary practice located at 631B North Street , Pittsfield MA 01201-4109. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Khan, Mehernosh Pheroze can be contacted via phone (413) 499-2054.

Contact Information

Primary practice address
631B North Street Pittsfield MA 01201-4109
Phone: (413) 499-2054
Fax: (413) 445-9174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 25344 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD038265L Pennsylvania

Profile Details

NPI number 1083604433
LBN Legal business name Khan, Mehernosh Pheroze
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated May 23rd, 2018 - about 6 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 1083604433 NPPES
Massachusetts MEDICAID 110093827A
Massachusetts MEDICAID 0008041750009

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