| Emma Mahmood Khan, MD | |
|
5901 Monclova Rd, Maumee, OH 43537-1841 | |
| (419) 893-6171 | |
| (419) 891-8033 |
| Full Name | Emma Mahmood Khan |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 5901 Monclova Rd, Maumee, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386861508 | NPI | - | NPPES |
| 0073413 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZC0500X | Pathology - Cytopathology | 35120076 (Ohio) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 35120076 (Ohio) | Primary |
| Entity Name | Somc Medical Care Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
| Entity Name | Consultants In Laboratory Medicine Of Greater Toledo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982673372 PECOS PAC ID: 2860474459 Enrollment ID: O20040607000642 |
| Entity Name | Associated Pathologists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619957933 PECOS PAC ID: 1759307614 Enrollment ID: O20051020000019 |
| Mailing Address | Practice Location Address |
|---|---|
| Emma Mahmood Khan, MD P.o. Box 1188, Bowling Green, OH 43402-1188 Ph: (419) 861-7052 | Emma Mahmood Khan, MD 5901 Monclova Rd, Maumee, OH 43537-1841 Ph: (419) 893-6171 |
Shaila Patel Fernandes, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 5901 Monclova Rd, Maumee, OH 43537 Phone: 419-893-5984 Fax: 419-891-8033 |