Individual
GHAZALA QURESHI KHOKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
608 NEW HOPE RD STE 3, PRINCETON, WV 24740-2287
(304) 487-7530
(304) 425-5420
Mailing address
608 NEW HOPE RD STE 3, PRINCETON, WV 24740-2287
(304) 487-6065
(304) 425-5420
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15032
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004504169
AETNA
—
01
—
001720437
MSBCBS
—
05
—
006756344
—
VA
05
—
0105664000
—
WV
01
—
282378
ANTHEM BCBS VA
—
01
—
875821
MAMSI
—
Enumeration date
07/15/2006
Last updated
07/27/2022
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