| Dr Mohammad Khurram Khan, MD, PHD | |
|
1365 Clifton Rd Ne, Radiation Oncology Department-emory University, Atlanta, GA 30322-1013 | |
| (404) 778-3473 | |
| (404) 778-3643 |
| Full Name | Dr Mohammad Khurram Khan |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 20 Years |
| Location | 1365 Clifton Rd Ne, Atlanta, Georgia |
| 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 |
|---|---|---|---|
| 1487823654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0203X | Radiology - Therapeutic Radiology | TRAINING LICENSE (Ohio) | Secondary |
| 261QX0203X | Clinic/center - Oncology, Radiation | 65834 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emory University Hospital | Atlanta, GA | Hospital |
| Emory University Hospital Midtown | Atlanta, GA | Hospital |
| Emory Decatur Hospital | Decatur, GA | Hospital |
| Saint Joseph's Hospital Of Atlanta, Inc | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Emory Clinic Inc | 8820901408 | 3505 |
| Georgia Protoncare Center Inc. | 0749524312 | 31 |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Emory Medical Care Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
| Entity Name | Georgia Protoncare Center Inc. |
|---|---|
| Entity Type | Part B Supplier - Radiation Therapy Center |
| Entity Identifiers | NPI Number: 1083107999 PECOS PAC ID: 0749524312 Enrollment ID: O20181207002533 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mohammad Khurram Khan, MD, PHD 1365 Clifton Rd Ne, Radiation Oncology Department-emory University, Atlanta, GA 30322-1013 Ph: (404) 778-3473 | Dr Mohammad Khurram Khan, MD, PHD 1365 Clifton Rd Ne, Radiation Oncology Department-emory University, Atlanta, GA 30322-1013 Ph: (404) 778-3473 |