Omar Khan, is a
Student In An Organized Health Care Education/training Program physician based in Hattiesburg, Mississippi. Omar Khan is licensed to practice in * (Not Available) (license number ) and his current practice location is 5001 Hardy St, Hattiesburg, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 296-3963.
NPI number for Omar Khan is 1558002477 and his current mailing address is 274 Battery Ave, Brooklyn, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558002477.
Physician's Profile
| Full Name | Omar Khan |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 5001 Hardy St, Hattiesburg, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558002477
- Provider Enumeration Date: 04/05/2022
- Last Update Date: 06/09/2025
Medical Identifiers
Medical identifiers for Omar Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558002477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 33492 (Mississippi) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Omar Khan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Omar Khan,
274 Battery Ave,
Brooklyn, NY 11209-7139
Ph: (347) 419-2802 | Omar Khan,
5001 Hardy St,
Hattiesburg, MS 39402-1308
Ph: (601) 296-3963 |
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