NPI 1639113285 · live from the CMS NPI Registry
Mohammad Ali Khan, MD
Pediatrics in Newark, DE. National Provider Identifier 1639113285, active.
NPI record
| NPI | 1639113285 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 2600 Glasgow Ave Ste 212, Newark, DE 19702 |
| Practice phone | 302-449-5791 |
| Enumerated | June 15, 2006 |
| Last updated | December 12, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | MD429242 (PA) |
| Pediatrics, Neonatal-Perinatal Medicine | 2080N0001X | D0064698 (MD) |
| Family Medicine, Adult Medicine | 207QA0505X | 15427R (LA) |
| Pediatrics, Pediatric Hematology-Oncology | 2080P0207X | 15427R (LA) |
| Substance Abuse Rehabilitation Facility | 324500000X | 15427R (LA) |
| Hospitalist | 208M00000X | D0064698 (MD) |
| Pediatrics | 208000000X | D0064698 (MD) |
| Pediatrics primary | 208000000X | C1-0008136 (DE) |
| Emergency Medicine, Emergency Medical Services | 207PE0004X | 15427R (LA) |
| Pediatrics, Adolescent Medicine | 2080A0000X | C1-0008136 (DE) |
| Pediatrics, Neurodevelopmental Disabilities | 2080P0008X | C1-0008136 (DE) |
| Pediatrics, Pediatric Hematology-Oncology | 2080P0207X | D0064698 (MD) |
| Emergency Medicine, Pediatric Emergency Medicine | 207PP0204X | 15427R (LA) |
| Family Medicine, Addiction Medicine | 207QA0401X | 15427R (LA) |
| Pediatrics | 208000000X | 15427R (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.