Provider Demographics
NPI:1205444908
Name:KHAN, NAZIA R (PHARMD)
Entity type:Individual
Prefix:
First Name:NAZIA
Middle Name:R
Last Name:KHAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3611 CHASE HILLS DR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-1925
Mailing Address - Country:US
Mailing Address - Phone:410-689-5206
Mailing Address - Fax:
Practice Address - Street 1:3611 CHASE HILLS DR
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20724-1925
Practice Address - Country:US
Practice Address - Phone:410-689-5206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-19
Last Update Date:2020-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21305183500000X
OH03129804183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist