Provider Information for 1346957230
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NEWZAIRA KHAN
Sex: Female
NPI: 1346957230
Last Updated: 2024-03-11
Certification Date: 2024-03-11
Certification Date: 2024-03-11
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1346957230 | ||||||||||||||
| Enumeration Date | 2022-11-01 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 4505 LEAMORE SQUARE RD VIRGINIA BEACH, VA 23462-4653 United States Phone: | Fax: | ||||||||||||||
| Primary Practice Address | 4505 LEAMORE SQUARE RD VIRGINIA BEACH, VA 23462-4653 United States Phone: 310-874-7436 | Fax: | ||||||||||||||
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