Individual
SOUHA KHAWAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1935 W MAIN ST, SALEM, VA 24153-3109
(540) 387-0441
(540) 389-7868
Mailing address
1935 W MAIN ST, SALEM, VA 24153-3109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-231598
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010099498
—
VA
Enumeration date
02/03/2006
Last updated
09/14/2017
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