Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 0101252601 | VA |
N | 208600000X | Surgeon | 0101252601 | VA |
N | 208800000X | Urologist | 000000 | MD |
Y | 208C00000X | Colorectal Surgeon | 0101252601 | VA |
NPI | 1043356843 |
---|---|
Provider Name | Dr. Katherine W Khalifeh |
First Address | Fairfax, VA 22031-4357 |
Second Address | Fairfax, VA 22031-4357 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 07/01/2021 |