Individual
BASEMA KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-5190
Mailing address
259 W BUTE ST # 2, NORFOLK, VA 23510-1403
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
034567
NY
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
11/21/2020
Last updated
04/07/2026
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