Organization
SANDSTON PRIMARY CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHUJA U KHAN MD (OWNER PRESIDENT)
(804) 737-7804
Entity
Organization
Contact information
Practice address
35 E WILLIAMSBURG RD, SANDSTON, VA 23150-2011
(804) 737-7804
(804) 737-8973
Mailing address
35 E WILLIAMSBURG RD, SANDSTON, VA 23150-2011
(804) 737-7804
(804) 737-8973
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
0101053528
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005877814
—
VA
01
—
454249
ANTHEM BCBS
VA
01
—
705067
AETNA
VA
Enumeration date
09/01/2006
Last updated
10/13/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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