Provider Demographics
NPI:1871555458
Name:KHAN, MEHER S (MD)
Entity type:Individual
Prefix:DR
First Name:MEHER
Middle Name:S
Last Name:KHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 MONTGOMERY AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004
Mailing Address - Country:US
Mailing Address - Phone:610-668-0836
Mailing Address - Fax:610-668-7922
Practice Address - Street 1:146 MONTGOMERY AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004
Practice Address - Country:US
Practice Address - Phone:610-668-0836
Practice Address - Fax:610-668-7922
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2008-09-24
Deactivation Date:2008-05-19
Deactivation Code:
Reactivation Date:2008-09-24
Provider Licenses
StateLicense IDTaxonomies
PAMD-039120L207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4362170OtherAETNA
PA0507480000OtherKEYSTONE
PA0507480000OtherKEYSTONE
PAE86907Medicare UPIN