Individual
DR. MAHIN KHADEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2310 LONGFIBRE RD, UNION GAP, WA 98903-1513
(509) 454-5242
Mailing address
2203 PORTER LOOP, YAKIMA, WA 98901-6112
(425) 279-3475
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD61212743
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OD61212743
DEPARTMENT OF HEALTH
WA
Enumeration date
05/31/2022
Last updated
05/31/2022
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