Provider Demographics
NPI:1336607605
Name:KHAN, RAMSHA A
Entity Type:Individual
Prefix:
First Name:RAMSHA
Middle Name:A
Last Name:KHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1218 WILLOWBROOK DR SE APT 5
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-3849
Mailing Address - Country:US
Mailing Address - Phone:256-655-4250
Mailing Address - Fax:256-265-7954
Practice Address - Street 1:420 LOWELL DR SE STE 301
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3762
Practice Address - Country:US
Practice Address - Phone:256-265-7955
Practice Address - Fax:256-265-7954
Is Sole Proprietor?:No
Enumeration Date:2019-03-06
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-150531363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1-150531OtherINFECTIOUS DISEASE