| Dr Mahfuzul Haque Khan, MD | |
|
2400 Longstone Ln Ste 106, Marriottsville, MD 21104-1532 | |
| (410) 770-2793 | |
| (410) 720-2461 |
| Full Name | Dr Mahfuzul Haque Khan |
|---|---|
| Gender | Male |
| Speciality | Endocrinology |
| Experience | 23 Years |
| Location | 2400 Longstone Ln Ste 106, Marriottsville, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760625701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | D0068753 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group, Llc | 4385682061 | 1264 |
| Entity Name | Carroll Health Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437473550 PECOS PAC ID: 3870627029 Enrollment ID: O20100810000945 |
| Entity Name | Privia Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mahfuzul Haque Khan, MD 2400 Longstone Ln Ste 106, Marriottsville, MD 21104-1532 Ph: (410) 770-2793 | Dr Mahfuzul Haque Khan, MD 2400 Longstone Ln Ste 106, Marriottsville, MD 21104-1532 Ph: (410) 770-2793 |
Randal Paul Riesett, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2470 Longstone Ln Ste I, Marriottsville, MD 21104 Phone: 410-910-2300 Fax: 410-740-9134 | |
Jonathan Scott Fish, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2470 Longstone Ln Ste I, Marriottsville, MD 21104 Phone: 410-910-2300 Fax: 410-740-9134 | |
Elizabeth S Bower, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2400 Longstone Ln Ste 106, Marriottsville, MD 21104 Phone: 410-480-1895 Fax: 410-480-4955 | |
Ji Yon Kwon, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2400 Longstone Ln Ste 106, Marriottsville, MD 21104 Phone: 410-480-1895 Fax: 410-480-4955 |