Individual
MRS. KHUSHBOO KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9161 LIBERIA AVE STE 400A, MANASSAS, VA 20110-1727
(540) 274-3205
Mailing address
9161 LIBERIA AVE STE 400A, MANASSAS, VA 20110-1727
(540) 274-3205
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008941
VA
Other
Enumeration date
03/31/2020
Last updated
09/11/2024
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