Provider Demographics
NPI:1730370586
Name:KHAN, KHURRAM A (MD)
Entity type:Individual
Prefix:DR
First Name:KHURRAM
Middle Name:A
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:17 FOREST LN
Mailing Address - Street 2:17 FOREST LANE
Mailing Address - City:SOUTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-6173
Mailing Address - Country:US
Mailing Address - Phone:915-227-1317
Mailing Address - Fax:847-304-1762
Practice Address - Street 1:3 ERIE CT
Practice Address - Street 2:SUITE L-600
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-2519
Practice Address - Country:US
Practice Address - Phone:708-763-6908
Practice Address - Fax:708-763-6655
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-07
Last Update Date:2011-02-04
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Provider Licenses
StateLicense IDTaxonomies
IL036125183207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine