Provider Demographics
NPI:1588740054
Name:KHAN, MOHAMED F (MD)
Entity type:Individual
Prefix:
First Name:MOHAMED
Middle Name:F
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:960 MASSACHUSETTS AVE
Mailing Address - Street 2:FL 2
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2690
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:736 CAMBRIDGE ST
Practice Address - Street 2:CARDIOVASCULAR MEDICINE SUITE, 4TH FL MARGARET'S
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135
Practice Address - Country:US
Practice Address - Phone:617-562-7690
Practice Address - Fax:617-562-7699
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2025-05-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA219948207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ28003OtherBLUE CROSS BLUE SHIELD
MA1588740054Medicare PIN
MAJ28003OtherBLUE CROSS BLUE SHIELD