Ayesha Khan Do, Llc | |
14201 Laurel Park Dr Ste 215 Laurel MD 20707-5260 | |
(240) 690-2828 | |
Not Available |
Full Name | Ayesha Khan Do, Llc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 14201 Laurel Park Dr Ste 215, Laurel, Maryland |
Authorized Official Name and Position | Ayesha Khan (OWNER) |
Authorized Official Contact | 2402710746 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ayesha Khan Do, Llc 19328 Erin Tree Ct Gaithersburg MD 20879-4973 Ph: () - | Ayesha Khan Do, Llc 14201 Laurel Park Dr Ste 215 Laurel MD 20707-5260 Ph: (240) 690-2828 |
NPI Number | 1174153522 |
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Provider Enumeration Date | 01/23/2020 |
Last Update Date | 12/29/2020 |
Certification Date | 12/29/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174153522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
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