Provider Demographics
NPI:1942469770
Name:KHAN, ADNAN R (MD)
Entity type:Individual
Prefix:
First Name:ADNAN
Middle Name:R
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6305 IVY LN
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-1465
Mailing Address - Country:US
Mailing Address - Phone:844-522-4263
Mailing Address - Fax:301-363-1099
Practice Address - Street 1:6305 IVY LN
Practice Address - Street 2:SUITE 100
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-1465
Practice Address - Country:US
Practice Address - Phone:844-522-4263
Practice Address - Fax:301-363-1099
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2021-11-16
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Provider Licenses
StateLicense IDTaxonomies
CAA120050207ZP0102X
MDD76025207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology