Individual
KOKAB KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 9TH AVE, ALTOONA, PA 16602-2415
(814) 946-1655
Mailing address
620 HOWARD AVE, OP302, ALTOONA, PA 16601-4804
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD447201
PA
Other
Enumeration date
06/04/2009
Last updated
05/24/2021
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