Individual
DR. GOUHAR YUSUOF KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1818 COLE ST, ENUMCLAW, WA 98022-3504
(360) 802-5760
(360) 802-5799
Mailing address
1818 COLE ST, ENUMCLAW, WA 98022-3504
(360) 802-5760
(360) 802-5799
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
49428
WI
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60520385
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341100
STATE L&I
WA
Enumeration date
08/03/2006
Last updated
04/10/2017
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