| 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  |