Individual
ATIF KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 LENNYS WAY, WEST SPRINGFIELD, MA 01089-8900
(413) 504-3507
Mailing address
30 LENNYS WAY, WEST SPRINGFIELD, MA 01089
(413) 504-3507
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN2286715
MA
Other
Enumeration date
05/10/2017
Last updated
05/11/2017
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