Provider Demographics
NPI:1407608599
Name:KHAN, NOORELLE (MBBS)
Entity Type:Individual
Prefix:MS
First Name:NOORELLE
Middle Name:
Last Name:KHAN
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 IRVING ST. NW
Mailing Address - Street 2:MEDSTAR WASHINGTON HOSPITAL CENTER, DEPARTMENT OF INTER
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010
Mailing Address - Country:US
Mailing Address - Phone:202-877-2835
Mailing Address - Fax:202-877-8288
Practice Address - Street 1:110 IRVING ST. NW
Practice Address - Street 2:MEDSTAR WASHINGTON HOSPITAL CENTER, DEPARTMENT OF INTER
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010
Practice Address - Country:US
Practice Address - Phone:202-877-2835
Practice Address - Fax:202-877-8288
Is Sole Proprietor?:No
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program