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Individual

SALMAN KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 287-7270
(804) 285-0726
Mailing address
4013 WATER OVERLOOK BLVD, MIDLOTHIAN, VA 23112-5007
(804) 243-3282

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101058157
VA
208M00000X
Hospitalist Physician
0101058157
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010143934
VA
01
176037
BCBS
VA
01
C06778
GROUP PTAN
VA
Enumeration date
01/04/2006
Last updated
07/08/2022
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