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Individual

YASMIN KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1107 S WALTER REED DR APT 204, ARLINGTON, VA 22204-4371
(302) 786-7862
Mailing address
3130 FAIRVIEW PARK DR., SUITE 300, FALLS CHURCH, VA 22042
(703) 914-2942
(703) 207-7065

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101253110
VA
207R00000X
Internal Medicine Physician
G2042
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100070503
TX
05
100070504
TX
05
100070505
TX
01
8U7224
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/02/2005
Last updated
12/09/2020
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