Individual
DR. NASREEN AJMAL ILIAS-KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664
(360) 882-2778
(360) 604-1767
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1767
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD155921
OR
207RC0000X
Cardiovascular Disease Physician
MD60479570
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038720
—
WA
05
—
500638606
—
OR
Enumeration date
04/04/2007
Last updated
07/12/2018
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