Individual
DR. SHAEESTA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-8231
(570) 703-8250
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD464069
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT203701
PA
Other
Enumeration date
07/02/2013
Last updated
02/02/2022
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