Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | D0056394 | MD |
NPI | 1033256631 |
---|---|
Provider Name | Dr. Lubna N Khan |
First Address | Clarksville, MD 21029-1521 |
Second Address | Clarksville, MD 21029 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 25/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H29086 | (02) | MD |