Individual
RAIS A KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8348 TRAFORD LN, SUITE 400, SPRINGFIELD, VA 22152-1663
(703) 866-2100
(703) 451-7539
Mailing address
8348 TRAFORD LN, SUITE 400, SPRINGFIELD, VA 22152-1663
(703) 866-2100
(703) 451-7539
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101242402
VA
2084P0804X
Child & Adolescent Psychiatry Physician
0101242402
VA
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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