Individual
YULIA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
740 E HIGHLAND AVE STE 101, PHOENIX, AZ 85014-3609
(602) 264-9044
Mailing address
740 E HIGHLAND AVE STE 101, PHOENIX, AZ 85014-3609
(602) 264-9044
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
12323
ND
207N00000X
Dermatology Physician
51966
MN
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
51420
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P00937246
RAILROAD MEDICARE
MN
Enumeration date
07/18/2008
Last updated
07/11/2016
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