Individual
DR. KULSOOM A KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
042.0013685
VT
2084P0800X
Psychiatry Physician
C52915
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029599
—
VT
05
—
PENDING
—
NH
Enumeration date
02/06/2007
Last updated
05/18/2022
Update your record
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