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Individual

DR. ASMA S KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
3214 CHARLES B ROOT WYND, STE 120, RALEIGH, NC 27612-5440
(919) 881-0900
(919) 881-0911
Mailing address
1950 OLD GALLOWS RD, STE 520, VIENNA, VA 22182-3990
(703) 847-8899
(703) 991-0514

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1864
NC
152WL0500X
Low Vision Rehabilitation Optometrist
1864
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
093U3
BCBS
NC
05
5904878
NC
Enumeration date
05/24/2006
Last updated
01/19/2015
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