Provider Demographics
NPI:1629146444
Name:KHINE, KHURSHEED K (MD)
Entity Type:Individual
Prefix:DR
First Name:KHURSHEED
Middle Name:K
Last Name:KHINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6600 GOLDSBORO RD
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-4109
Mailing Address - Country:US
Mailing Address - Phone:703-573-5679
Mailing Address - Fax:703-876-1640
Practice Address - Street 1:3340 WOODBURN RD
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-1202
Practice Address - Country:US
Practice Address - Phone:703-573-5679
Practice Address - Fax:703-876-1640
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01012336892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA121975Medicare UPIN