Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | MD-039120L | PA |
NPI | 1871555458 |
---|---|
Provider Name | Dr. Meher S Khan |
First Address | Bala Cynwyd, PA 19004 |
Second Address | Bala Cynwyd, PA 19004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 24/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0507480000 | KEYSTONE (01) | PA |
4362170 | AETNA (01) | PA |
E86907 | (02) | PA |