Individual
SAMIRA M KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 WESLEY DR, MEMPHIS, TN 38116-6426
(901) 395-2618
(901) 385-3261
Mailing address
P O BOX 1000 DEPT 351, MEMPHIS, TN 38148-0001
(901) 395-2618
(901) 385-3261
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52021
TN
208M00000X
Hospitalist Physician
52021
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09722713
—
MS
01
—
6139666
BCBS
TN
05
—
Q012877
—
TN
Enumeration date
06/24/2011
Last updated
04/04/2018
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