Individual
SHARA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11112 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1812
(718) 641-1212
Mailing address
11112 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1812
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018824
NY
Other
Enumeration date
04/26/2016
Last updated
01/09/2022
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