Individual
TASNIM KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3004 ORANGE GROVE, SUITE 2, CHRISTIANSTED, VI 00820
(340) 715-7720
(340) 713-9002
Mailing address
3004 ORANGE GROVE, SUITE 2, CHRISTIANSTED, VI 00820-4288
(340) 715-7720
(340) 713-9002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1674
VI
207RN0300X
Nephrology Physician
0101246184
VA
207RN0300X
Nephrology Physician
Primary
1674
VI
207RN0300X
Nephrology Physician
254394-1
NY
207RN0300X
Nephrology Physician
ME 103401
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
872011
—
AZ
Enumeration date
09/20/2005
Last updated
03/16/2017
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