Individual
GHAZALA Y KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4221 PLEASANT VALLEY RD, SUITE 114, VIRGINIA BEACH, VA 23464-8519
(757) 495-7420
(757) 495-3917
Mailing address
4221 PLEASANT VALLEY RD, SUITE 114, VIRGINIA BEACH, VA 23464-8519
(757) 495-7420
(757) 495-3917
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101042942
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33003
OPTIMA HEALTH PLAN
VA
01
—
330829
BCBS
VA
Enumeration date
03/30/2006
Last updated
02/13/2008
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