Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 57.020791 | OH |
Y | 2080P0202X | Pediatric Cardiologist | MD044566 | DC |
NPI | 1174750715 |
---|---|
Provider Name | Dr. Sairah Afzal Khan |
First Address | Atlanta, GA 30374-4785 |
Second Address | Washington, DC 20010-2916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2009 |
Last Update Date | 13/09/2021 |