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Individual

KATTIE KHADAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, CRNP-FAMILY

Contact information

Practice address
8901 WISCONSIN AVENUE, BETHESDA, MD 20814
(301) 319-8809
Mailing address
11212 BROAD GREEN DRIVE, POTOMAC, MD 20854
(240) 481-5289

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R139841
MD

Other

Enumeration date
09/12/2018
Last updated
09/12/2018
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