Individual
DR. MITRA KHANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7000
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
TR61054303
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XXXXX
XXXXX
—
Enumeration date
04/28/2012
Last updated
06/01/2022
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