Individual
FAHMIDA KHAN MCGANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
160 ROBBINS ST, WATERBURY, CT 06708-2652
(203) 573-7284
(203) 573-7031
Mailing address
4755 OGLETOWN STANTON RD, SUITE 2E70, NEWARK, DE 19718-2220
(302) 733-6338
(302) 733-6386
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
65852
CT
207R00000X
Internal Medicine Physician
C7-0005955
DE
207RI0200X
Infectious Disease Physician
Primary
65852
CT
390200000X
Student in an Organized Health Care Education/Training Program
30962849
PA
Other
Enumeration date
04/01/2015
Last updated
07/01/2020
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