Individual
MARISA KHAMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2121 I ST NW, WASHINGTON, DC 20052-0086
(202) 994-2960
Mailing address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(734) 516-9486
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA200002377
DC
363AS0400X
Surgical Physician Assistant
Primary
PA200002377
DC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
02/20/2026
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