Khan, Wajahat Ali

Khan, Wajahat Ali is an individual health care provider with primary practice located at 6401 Kimball Dr , Gig Harbor WA 98335-1228. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Khan, Wajahat Ali can be contacted via phone (253) 858-9192.

Contact Information

Primary practice address
6401 Kimball Dr Gig Harbor WA 98335-1228
Phone: (253) 858-9192
Fax: (253) 858-4348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD00044018 Washington

Profile Details

NPI number 1093870172
LBN Legal business name Khan, Wajahat Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Mar 1st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093870172 NPPES
Washington Other 0231161 STATE L&I
Washington Other 0231156 STATE L&I
Washington MEDICAID 8414021 STATE L&I
Washington Other 0221363 STATE L&I
Washington Other 0217036 STATE L&I
Washington Other 0258715 STATE L&I

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