Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 35.120776 | OH |
N | 208000000X | Pediatrician | 57.017802 | OH |
NPI | 1003109323 |
---|---|
Provider Name | Dr. Hiba Khankan |
First Address | Akron, OH 44308-1063 |
Second Address | Akron, OH 44308-1063 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2011 |
Last Update Date | 14/11/2013 |