Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mohammad Adeem Khan, PA-C

Individual provider Emergency Medicine Physician · NPI 1720622764

Mohammad Adeem Khan, PA-C is a Physician Assistant in Leesburg, Virginia. Graduated from City University of New York School of Medicine in 2022, 4 years ago. Practices with Inova Ucc LLC, a 153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Virginia.

Years since qualifying
4
Trained at
City University of New York School of Medicine
Licensed in
NY, VA
In the registry since
2019
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

300 Fort Evans Rd NE Ste 103
Leesburg, VA 20176-4491
Phone: (571) 252-9953
Fax: (571) 252-9954
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 160 Convent Ave, New York, NY 10031-9101 — (518) 258-7210

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110009696 (VA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 028236 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720622764
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 2, 2019
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolCITY UNIVERSITY OF NEW YORK SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Inova Ucc Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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