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Individual

SUMERA TARIQ KHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2123 AUBURN AVE, STE. 200, CINCINNATI, OH 45219-2906
(513) 585-2414
(513) 585-3792
Mailing address
2123 AUBURN AVE, STE. 200, CINCINNATI, OH 45219-2906
(513) 585-2414
(513) 585-3792

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.084372
OH
2084P0800X
Psychiatry Physician
35806
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2800142
OH
05
7100098720
KY
Enumeration date
09/06/2007
Last updated
10/27/2020
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