MEDICARE: NAJMA J KHAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	0101029842	VA

General Provider Information

NPI Number	:	1750398459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAJMA J KHAN MD

Provider Business Mailing Address
First Line	:	14009 MINNIEVILLE RD
Second Line	:
City	:	DALE CITY
State	:	VA
Zip	:	22193-2310
Country	:	US
Telephone Number	:	703-580-6400
Fax Number	:	703-580-6402

Provider Business Practice Location Address
First Line	:	14009 MINNIEVILLE RD
Second Line	:
City	:	DALE CITY
State	:	VA
Zip	:	22193-2310
Country	:	US
Telephone Number	:	703-580-6400
Fax Number	:	703-580-6402

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	07/08/2007

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