Individual
KHINE SANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7211 BANK CT STE 230, FREDERICK, MD 21703-8482
(240) 215-6310
Mailing address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 215-6310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D88172
MD
207RI0200X
Infectious Disease Physician
Primary
D88172
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2014
Last updated
08/04/2022
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