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Provider Information for 1235127747

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

AHMAD HAROON KHAN MD

Gender: MALE

Individual NPI: 1235127747

Calendar   Last Updated:  2018-07-24
  Certification Date: 

Details

Name Value
NPI 1235127747
Enumeration Date 2005-10-10
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 1267 CHERRY TREE LN
CHAMBERSBURG, PA 17202-7492
United States

Phone: 717-446-0895 | Fax: 717-753-3152
View Map External Link
Primary Practice Address 765 FIFTH AVENUE SUITE C
CHAMBERSBURG, PA 17201
United States

Phone: 717-446-0895 | Fax: 717-753-3152
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID PA 1599678
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207R00000X - Internal Medicine PA MD059857L