Individual
ANNUM KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1750 TYSONS BLVD STE 120, MC LEAN, VA 22102-4227
(703) 914-8000
(703) 642-1876
Mailing address
11350 MCCORMICK RD EXECUTIVE PLAZA 1, STE 501, HUNT VALLEY, MD 21031
(703) 738-4331
(703) 642-1876
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110005341
VA
Other
Enumeration date
10/27/2016
Last updated
07/24/2019
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