Individual
AYESHA HASAN KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
14201 LAUREL PARK DR STE 215, LAUREL, MD 20707-5260
(240) 690-2828
Mailing address
19328 ERIN TREE CT, GAITHERSBURG, MD 20879-4973
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
5101020462
MI
2084P0800X
Psychiatry Physician
Primary
H0088396
MD
Other
Enumeration date
06/28/2013
Last updated
12/29/2020
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