Individual
MS. MARIA FATIMA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
210 EAST GRAY ST., SUITE # 802, LOUISVILLE, KY 40202-3904
(502) 588-2330
(502) 588-9513
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-2330
(502) 588-9513
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
03475
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201293090
—
IN
05
—
7100131750
—
KY
Enumeration date
03/30/2009
Last updated
10/23/2020
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