Basic Information
| Provider Information | |||||||||
| NPI: | 1780979963 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KHOKHAR | ||||||||
| FirstName: | MUHAMMAD | ||||||||
| MiddleName: | OMER | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 111 CONTINENTAL DRIVE, SUITE 406 | ||||||||
| Address2: | IPC-THE HOSPITALIST COMPANY. | ||||||||
| City: | NEWARK | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197138112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3029842577 | ||||||||
| FaxNumber: | 3023681271 | ||||||||
| Practice Location | |||||||||
| Address1: | 111 CONTINENTAL DRIVE, SUITE 406 | ||||||||
| Address2: | IPC-THE HOSPITALIST COMPANY. | ||||||||
| City: | NEWARK | ||||||||
| State: | DE | ||||||||
| PostalCode: | 197138112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3029842577 | ||||||||
| FaxNumber: | 3023681271 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2011 | ||||||||
| LastUpdateDate: | 09/15/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 2011013958 | MO | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | C1-0011054 | DE | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.