M Raza Khan M D S C

LBN: M Raza Khan M D S C
M Raza Khan M D S C is an health care organization with primary practice located at 1 S Virginia St , Crystal Lake IL 60014-5826. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. M Raza Khan M D S C can be contacted via phone (815) 893-7975, or through Khan, Mohammad Raza via phone (847) 488-0123.

Contact Information

Primary practice address
1 S Virginia St Crystal Lake IL 60014-5826
Phone: (815) 893-7975
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Khan, Mohammad Raza Doctor of Medicine (MD)
Phone: (847) 488-0123

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036118940 Illinois

Profile Details

NPI number 1881826253
LBN Legal business name M Raza Khan M D S C
DBA Doing business as
Authorized official Khan, Mohammad Raza Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2009
Last updated Sep 15th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881826253 NPPES
Other 1801937545 PERSONAL NPI #
MEDICAID 036118940 PERSONAL NPI #

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