Nuzhat A Khan, MD – Hospitalist Physician

Key facts

NPI: 1184698367
Entity type: Individual (NPI type 1)
Primary specialty: Hospitalist Physician 208M00000X
License: MD072099L (PA)
Practice address: 130 S Bryn Mawr Ave
Suite H321
Bryn Mawr, PA 19010-3121
Phone: (484) 337-4097
Fax: (484) 337-4082
NPI assigned: Feb 15, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Main Line Healthcare Family Medicine Physician · Newtown Square, PA · NPI 1922077643

Medicare reassignment NPD INTERNAL MEDICINE · PA
Main Line Hospitals, Inc. General Acute Care Hospital · Bryn Mawr, PA · NPI 1508971441

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in PA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20101115000326	PA	Practitioner - Hospitalist Practitioner - Internal Medicine	1052506185	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
MD072099L	PA	MD	Hospitalist Physician

Practice roles

Organization	Specialty	Status	New patients
Main Line Healthcare	Internal Medicine	Current since Mar 9, 2002	Accepting new patients
Main Line Hospitals, Inc.		Past	Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

830 Old Lancaster Rd
Ste 209
Bryn Mawr, PA 19010
Phone (610) 525-1061

130 S Bryn Mawr Ave
Ste H321
Bryn Mawr, PA 19010
Phone (484) 337-4097

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician	207R00000X	MD072099L	PA
Hospitalist Physician	208M00000X	MD072099L	PA	Yes

Addresses

Primary practice location

130 S Bryn Mawr Ave
Suite H321
Bryn Mawr, PA 19010-3121

Mailing address

130 S Bryn Mawr Ave
Suite H321
Bryn Mawr, PA 19010-3121
Phone (484) 337-4097

Other providers in Bryn Mawr, PA

All providers in Bryn Mawr, PA · Hospitalist Physician in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.