Organization
ADULT AND GERIATRIC MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUBNA N KHAN MD (PROVIDER/OWNER)
(206) 957-6036
Entity
Organization
Contact information
Practice address
801 SW 150TH ST, SUITE 230, BURIEN, WA 98166-1855
(206) 957-6036
(206) 257-1181
Mailing address
PO BOX 97115, LAKEWOOD, WA 98497-0115
(253) 588-7911
(253) 984-6774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00038733
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD00038733
MEDICAL PROFESSIONAL LICENSE
WA
Enumeration date
01/03/2014
Last updated
01/03/2014
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