Individual
RYAN KHALIFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
80 SUMMER ST, BOSTON, MA 02110-1218
(857) 353-6397
Mailing address
80 SUMMER ST, BOSTON, MA 02110-1218
(857) 353-6397
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3644
NH
363A00000X
Physician Assistant
Primary
PA101399
MA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
03/29/2026
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