Khan, Mohammad Ali

Khan, Mohammad Ali is an sole proprietor health care provider with primary practice located at 111 W High St Ste 307 , Elkton MD 21921-8617. He recently has 11 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, Allopathic & Osteopathic Physicians / Hospitalist, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Khan, Mohammad Ali can be contacted via phone (302) 449-5791.

Contact Information

Primary practice address
111 W High St Ste 307 Elkton MD 21921-8617
Phone: (302) 449-5791
Fax: (443) 350-9783
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 15427R Louisiana
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 15427R Louisiana
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 15427R Louisiana
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 15427R Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 15427R Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0064698 Maryland
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X C1-0008136 Delaware
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X D0064698 Maryland
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X C1-0008136 Delaware
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 15427R Louisiana
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X D0064698 Maryland
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X D0064698 Maryland
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X MD429242 Pennsylvania
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 15427R Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C1-0008136 Delaware

Profile Details

NPI number 1639113285
LBN Legal business name Khan, Mohammad Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Aug 24th, 2022 - 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 1639113285 NPPES
Delaware MEDICAID 1000040965

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