Individual
RAZWANA KHANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
286977
MA
390200000X
Student in an Organized Health Care Education/Training Program
MT214891
PA
Other
Enumeration date
06/26/2018
Last updated
08/18/2021
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