Individual
MRS. ALIYA USMAN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3075 GOVERNORS PLACE BLVD, SUITE 110, DAYTON, OH 45409-1332
(937) 296-0015
(937) 296-0074
Mailing address
3075 GOVERNORS PLACE BLVD, SUITE 110, DAYTON, OH 45409-1332
(937) 296-0015
(937) 296-0074
Taxonomy
Speciality
Code
Description
License number
State
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
35063979
OH
207RR0500X
Rheumatology Physician
Primary
35063979
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2037727
—
OH
Enumeration date
11/30/2005
Last updated
10/05/2011
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