Individual
SHUMAILA G KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 E 1ST ST, TAHLEQUAH, OK 74464-5184
(240) 708-0477
Mailing address
1205 E 1ST ST, TAHLEQUAH, OK 74464-5184
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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