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Individual

SAMEENA WAHEED KHAN

Active
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Individual

SAMEENA WAHEED KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
001615
GA
207R00000X
Internal Medicine Physician
Primary
MD43967
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1510125
TN
01
3002528
MEDICARE PTAN
TN
Enumeration date
04/01/2008
Last updated
12/18/2009
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