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Individual

DR. KATHERINE W KHALIFEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2710 PROSPERITY AVE, SUITE 200, FAIRFAX, VA 22031-4357
(703) 280-2841
Mailing address
2710 PROSPERITY AVE, SUITE 200, FAIRFAX, VA 22031-4357
(703) 280-2841

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101252601
VA
208800000X
Urology Physician
000000
MD
208C00000X
Colon & Rectal Surgery Physician
Primary
0101252601
VA

Other

Enumeration date
01/29/2007
Last updated
04/12/2022
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