Individual
MAHRUKH KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1202 E PATRICK ST STE 4, FREDERICK, MD 21701-3167
(410) 596-0458
Mailing address
1202 E PATRICK ST STE 4, FREDERICK, MD 21701-3167
(410) 596-0458
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R188592
MD
Other
Enumeration date
12/23/2019
Last updated
12/17/2020
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