Individual
DR. ALI TARIQ KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1715 N GEORGE MASON DR STE 410, ARLINGTON, VA 22205-3666
(703) 524-4792
Mailing address
40 MITCHELL AVENUE, BINGHAMTON, NY 13903
(607) 772-0639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
295395
NY
207RG0100X
Gastroenterology Physician
Primary
0101278813
VA
Other
Enumeration date
04/06/2015
Last updated
06/16/2023
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