Individual
BASHIR A KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1850 TOWN CENTER PKWY, RESTON HOSPITAL CENTER, RESTON, VA 20190-3219
(703) 689-9037
(703) 689-9109
Mailing address
1300 PICCARD DR, SUITE 202, ROCKVILLE, MD 20850-4303
(301) 921-7900
(301) 921-7915
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101049571
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6706924
—
VA
Enumeration date
06/22/2006
Last updated
07/08/2007
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