Provider Demographics
NPI:1003504051
Name:KHAN, BRIANA ELIZABETH PASKIN (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIANA
Middle Name:ELIZABETH PASKIN
Last Name:KHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BRIANA
Other - Middle Name:ELIZABETH
Other - Last Name:PASKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2385 PACHECO DR
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-5600
Mailing Address - Country:US
Mailing Address - Phone:209-877-3286
Mailing Address - Fax:
Practice Address - Street 1:1300 N 12TH ST STE 320
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2858
Practice Address - Country:US
Practice Address - Phone:602-521-3050
Practice Address - Fax:602-521-3046
Is Sole Proprietor?:No
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program