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Individual

WAJAHAT ALI KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6401 KIMBALL DR, GIG HARBOR, WA 98335-1228
(253) 858-9192
(253) 858-4348
Mailing address
6401 KIMBALL DR, GIG HARBOR, WA 98335-1228
(253) 858-9192
(253) 858-4348

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD00044018
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0217036
STATE L&I
WA
01
0221363
STATE L&I
WA
01
0231156
STATE L&I
WA
01
0231161
STATE L&I
WA
01
0258715
STATE L&I
WA
05
8414021
WA
Enumeration date
12/27/2006
Last updated
03/01/2011
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