Individual
QUDSIA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1824 S MERIDIAN, PUYALLUP, WA 98371-7514
(253) 200-0300
Mailing address
104 23RD AVE SE, PUYALLUP, WA 98372-4527
(253) 200-0415
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125050522
IL
207R00000X
Internal Medicine Physician
Primary
MD60025028
WA
Other
Enumeration date
05/01/2008
Last updated
05/21/2014
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