| Mohamed Wajeed Khan, M.d. L.l.c. | |
|
12016 Georgia Ave Wheaton MD 20902-2004 | |
| (301) 942-2105 | |
| Not Available |
| Full Name | Mohamed Wajeed Khan, M.d. L.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 12016 Georgia Ave, Wheaton, Maryland |
| Authorized Official Name and Position | Mohamed Wajeed Khan (PHYSICIAN) |
| Authorized Official Contact | 3019422105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohamed Wajeed Khan, M.d. L.l.c. 12016 Georgia Ave Wheaton MD 20902-2004 Ph: () - | Mohamed Wajeed Khan, M.d. L.l.c. 12016 Georgia Ave Wheaton MD 20902-2004 Ph: (301) 942-2105 |
| NPI Number | 1811226012 |
|---|---|
| Provider Enumeration Date | 12/17/2009 |
| Last Update Date | 12/17/2009 |
| Medicare PECOS PAC ID | 3971644725 |
|---|---|
| Medicare Enrollment ID | O20091231000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811226012 | NPI | - | NPPES |
| 356121600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D0032817 (Maryland) | Primary |
| Provider Name | Wajeed Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588676027 PECOS PAC ID: 4082755830 Enrollment ID: I20091231000084 |
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