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Individual

DR. ASIF KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
PO BOX 39680, LAKEWOOD, WA 98496-3680
(253) 200-0300
(253) 302-8493
Mailing address
PO BOX 39680, LAKEWOOD, WA 98496-3680
(253) 200-0300
(253) 302-8493

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00044522
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0195278
L & I PROVIDER NUMBER
WA
01
0251533
L&I PROVIDER #
WA
01
7386691
AETNA PROVIDER NUMBER
WA
05
8421091
WA
01
911203494BZ
KPS PROVIDER NUMBER
WA
01
98390A019
TRICARE PROVIDER NUMBER
WA
01
9865KA
REGENCE RIDER NUMBER
WA
Enumeration date
05/25/2006
Last updated
03/14/2025
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