Individual
DR. REBECCA THIBODEAU KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3802 POPLAR HILL RD, SUITE C, CHESAPEAKE, VA 23321-5531
(757) 673-8383
(757) 483-9350
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101058934
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010021111
—
VA
Enumeration date
02/23/2006
Last updated
09/18/2017
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