Individual
MARYAM ANSAR KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2055 KIMBALL AVE STE 101, WATERLOO, IA 50702-5047
(319) 272-2112
Mailing address
2375 E 104TH AVE UNIT 7201, THORNTON, CO 80233-4509
(254) 444-3852
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-13403
IA
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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