Individual
AMNA S KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13020 MERIDIAN AVE S, EVERETT, WA 98208-6468
(425) 357-3700
(425) 357-3701
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61115567
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073001350
—
WA
Enumeration date
04/23/2018
Last updated
01/17/2022
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