1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MOAZZAM KHAN DO
NPI 1841879665
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 07, 2021
3401 N BROAD ST, PHILADELPHIA, PA 19140(800) 836-7536 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Moazzam Khan Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOAZZAM KHAN DO (NPI 1841879665) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1841879665
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMOAZZAM KHANCredential: DO
Location Address3401 N BROAD STPhiladelphia, PA 19140-5189
Mailing Address3401 N Broad StPhiladelphia, PA 19140-5103 · (800) 836-7536
Phone(800) 836-7536
Sole ProprietorNo
Enumeration DateApril 7, 2021
Last NPPES UpdateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1841879665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3401 N BROAD ST, Philadelphia, PA 19140
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMIE L. GARFIELD MD
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-5864
ELIZABETH DIANE DAUER MD
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3133
MARIA ESTHER ESCORCIA DE LEON M.D.
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-1622
JEONGAE YOON M.D.
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-3326
DR. SUSETE CARNEIRO M.D.
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (201) 317-3485
DR. SARAH DENISE FENERTY M.D.
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-7237
TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-4233
EDUARDO DOMINGUEZ CASTILLO M.D.
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140
Philadelphia County (215) 707-5864

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moazzam Khan's NPI number?

The NPI number for Moazzam Khan is 1841879665. It was assigned to this individual provider in the NPPES registry on April 7, 2021.

Where is Moazzam Khan located?

Moazzam Khan practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (800) 836-7536.

What is Moazzam Khan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Moazzam Khan was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.