DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PHILLIP DAVID KHAN, M.D.

Active

DR. PHILLIP DAVID KHAN, M.D. is a Plastic Surgery healthcare provider located in SOUTHPORT, North Carolina. NPI 1205035102 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery · SOUTHPORT, NC

Registration Details

NPI Number
1205035102
Provider Type
Individual
Gender
Male
NPI Issued
Jul 12, 2007 (19.101381303775 yrs)
Last Updated
Oct 25, 2020
Licenses
P6658 (TX)
LL28527 (SC)
2013-00923 (NC)
P6658 (TX)
2013-00923 (NC)

Practice Information

Address
1456 N HOWE ST STE 201
SOUTHPORT, NC, 284612674
Browse NC providers · Browse ZIP 28461
Phone
9107548808
Primary Specialty
Plastic Surgery
208200000X
Additional Specialty
General Surgery
Additional Specialty
Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.