Mohammed-Abdul Khan, DDS, MD, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS029596L Issued in PA

Legal business name

MOHAMMED-ABDUL KHAN, DDS, MD, LLC

Doing business as

Three Rivers Oral and Maxillofacial Surgery

Practice address

3515 Washington Rd
Suite # 562
MC Murray, PA 15317-3063

Phone

(724) 260-5184

NPI assigned

Nov 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mohammed-Abdul Khan, DDS, MDNPI 1912009630

Title

Owner

Phone

(724) 260-5184

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• THREE RIVERS ORAL AND MAXILLOFACIAL SURGERY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohammed Abdul Rahman Khan, DDS MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Canonsburg, PA
  • NPI 1912009630
  NPD Authorized official

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1942554704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 WASHINGTON RD",
            "address_2": "SUITE # 562",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173063",
            "telephone_number": "724-260-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 WASHINGTON RD",
            "address_2": "SUITE # 562",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153173063",
            "telephone_number": "724-260-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMED-ABDUL KHAN, DDS, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MOHAMMED-ABDUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-260-5184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS029596L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077451000002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THREE RIVERS ORAL AND MAXILLOFACIAL SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marcie Kathryn Miskus, DC
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• David Charles Mittell, M.D.
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• Michael Robert Mong
• Samantha Masters Montgomery, MS, RD, LDN
• Cassidy Moore, PA
• More Life Counseling LLC

• Oral and Maxillofacial Surgery (Dentist) in McMurray, PA
• Providers in McMurray, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.