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Individual

DR. KHALID KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 MEDICAL PARK BLVD, EMERGENCY DEPARTMENT, PETERSBURG, VA 23805-9274
(804) 765-5000
Mailing address
11901 HOGANS ALY, CHESTER, VA 23836-8608
(804) 530-3770
(804) 530-3770

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101230069
VA
207P00000X
Emergency Medicine Physician
12159R
LA
207P00000X
Emergency Medicine Physician
36093838
IL
207P00000X
Emergency Medicine Physician
37406
WI
207R00000X
Internal Medicine Physician
Primary
12159R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005884942
VA
Enumeration date
07/17/2006
Last updated
07/29/2025
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