Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 0101232785 | VA |
Y | 111NI0900X | Internist | 0101232785 | VA |
NPI | 1003036740 |
---|---|
Provider Name | Khairul B Emran |
First Address | Richmond, VA 23223-4221 |
Second Address | Richmond, VA 23223-4221 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 07/04/2016 |