Individual
MR. SHAHID MUNIF KHOKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 WESTWOOD MEDICAL PARK, BLUEFIELD, VA 24605-2000
(276) 322-2450
(276) 322-2621
Mailing address
PO BOX 708, BLUEFIELD, VA 24605-0708
(276) 322-2450
(276) 322-2621
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101230757
VA
208000000X
Pediatrics Physician
20449
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006738711
—
VA
05
—
2002345000
—
WV
Enumeration date
10/18/2005
Last updated
09/09/2011
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