Individual
MALIHA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2601 HOLME AVE, PHILADELPHIA, PA 19152
(219) 669-0518
Mailing address
13738 CHASE ST, CROWN POINT, IN 46307-9774
(219) 669-0518
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT216172
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2018
Last updated
06/28/2018
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