Organization
AYESHA KHAN DO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYESHA KHAN (OWNER)
(240) 271-0746
Entity
Organization
Contact information
Practice address
14201 LAUREL PARK DR STE 215, LAUREL, MD 20707-5260
(240) 690-2828
Mailing address
19328 ERIN TREE CT, GAITHERSBURG, MD 20879-4973
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
01/23/2020
Last updated
12/29/2020
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