Maryam Khan MD LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MARYAM KHAN MD LLC

Practice address

1205 York Rd Ste 11
Timonium, MD 21093-6211

Phone

(443) 577-4010

NPI assigned

Mar 28, 2023

Organization subpart

No

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

Authorized official

Name

Maryam Khan, MDNPI 1144752908

Title

MD

Phone

(443) 577-4010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

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

• Maryam Khan, M.D

  • Internal Medicine Physician
  • Timonium, MD
  • NPI 1144752908
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1841994498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 YORK RD STE 11",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210936211",
            "telephone_number": "443-577-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 YORK RD STE 11",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210936211",
            "telephone_number": "443-577-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYAM KHAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "443-577-4010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myles Devoe Alexandrius Marion, AU.D.
• Niki Pappas Marsh, MS-CCC-SLP
• Katelynn Nicole Marshall
• Sylvia Aletha Marshall
• Rodney D Martin, DDS
• Maryland and Virginia Phlebology PC
• Maryland Diagnostic Services, Inc.
• Maryland Endodontic Group, P.C.
• Maryland Family Care, Inc.
• Maryland Family Care, Inc.

• Primary Care Clinic/Center in Timonium, MD
• Providers in Timonium, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.