Organization
KHAN PEDIATRIC CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASHIR A. KHAN M.D;F.A.A.P. (PRESIDENT)
(703) 727-6664
Entity
Organization
Contact information
Practice address
44121 HARRY BYRD HWY., SUITE 215, ASHBURN, VA 20147
(703) 727-6664
Mailing address
1251 ROWLAND DR, HERNDON, VA 20170-2430
(703) 444-3876
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101049571
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010158371
—
VA
Enumeration date
09/20/2006
Last updated
12/03/2014
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