Individual
DR. SHALLA H KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
604 SOLAREX COURT, SUITE 206, FREDERICK, MD 21703
(301) 663-0006
(301) 663-0688
Mailing address
19328 ERIN TREE CT, GAITHERSBURG, MD 20879
(240) 271-0745
(301) 527-9423
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
D42194
MD
207KA0200X
Allergy Physician
D42194
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148651900
—
MD
Enumeration date
12/08/2007
Last updated
03/20/2025
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