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Individual

SHAGUFTA P KHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SONOGRAPHER

Contact information

Practice address
3137 ESTERS RD, IRVING, TX 75062-2837
(972) 904-8360
Mailing address
3137 ESTERS RD, IRVING, TX 75062-2837
(972) 904-8360

Taxonomy

Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
00072951
TX
2471S1302X
Sonography Radiologic Technologist
Primary
114079
TX
2471V0105X
Vascular Sonography Radiologic Technologist
114079
TX

Other

Enumeration date
08/21/2010
Last updated
08/21/2010
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