Provider Demographics
NPI:1467986059
Name:KHAN, AZIZ
Entity type:Individual
Prefix:
First Name:AZIZ
Middle Name:
Last Name:KHAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 MECHANICSVILLE RD STE 512
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-1669
Mailing Address - Country:US
Mailing Address - Phone:267-805-8820
Mailing Address - Fax:267-805-8755
Practice Address - Street 1:3900 MECHANICSVILLE RD STE 512
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-1669
Practice Address - Country:US
Practice Address - Phone:267-805-8820
Practice Address - Fax:267-805-8755
Is Sole Proprietor?:No
Enumeration Date:2017-04-20
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT064400207R00000X, 208M00000X
390200000X
57983390200000X
PAMD488226207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program