Mohammad K. Khan, M.D., LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD056299-L Issued in PA

Legal business name

MOHAMMAD K. KHAN, M.D., LLC

Practice address

4949 Liberty LN Ste 320
Allentown, PA 18106-9048

Phone

(717) 319-1706

Fax

(610) 395-4564

NPI assigned

Feb 26, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mohammad Khalid Khan, M.D.NPI 1578590212

Title

Owner

Phone

(717) 319-1706

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohammad Khalid Khan, M.D.

  • Psychiatry Physician
  • Allentown, PA
  • NPI 1578590212
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1184946428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6594 RUTHERFORD DR",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180628049",
            "telephone_number": "717-319-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 LIBERTY LN STE 320",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069048",
            "telephone_number": "717-319-1706",
            "fax_number": "610-395-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD K. KHAN, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "KHALID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-319-1706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD056299-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102498458 0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "2510096",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "3826089000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7651921",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Nyaboga Moenga
• James B. Moffat, CRNA
• Ahmed Ansary Moftah
• Oana G Moga
• Massouma Mohamedraza, PHARMD
• Tarannum Mohammadi, MD
• Karthi Mohan
• Tapti Mohapatra, PA C
• Negar Moheb, MD
• Atysha Mohindroo

• Psychiatry Physician in Allentown, PA
• Providers in Allentown, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.