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Individual

DR. KHALID ATHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
541 SUNSET LN STE 201, CULPEPER, VA 22701-3979
(540) 829-0700
(540) 829-8191
Mailing address
1912 SEPTEMBER CT, CULPEPER, VA 22701-3313
(202) 460-0988

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101243070
VA
207LP2900X
Pain Medicine (Anesthesiology) Physician
0101243070
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101243070
VIRGINIA LICENSE
VA
05
1891995510
VA
Enumeration date
07/20/2007
Last updated
04/21/2020
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