Provider Demographics
NPI:1740725431
Name:ABID-SUBA, KHUSH B (PA)
Entity type:Individual
Prefix:MRS
First Name:KHUSH
Middle Name:B
Last Name:ABID-SUBA
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Gender:F
Credentials:PA
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Mailing Address - Street 1:10709 GREY HAVENS CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-1785
Mailing Address - Country:US
Mailing Address - Phone:702-677-5514
Mailing Address - Fax:702-947-5352
Practice Address - Street 1:4270 S DECATUR BLVD STE B6
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-6802
Practice Address - Country:US
Practice Address - Phone:725-666-1636
Practice Address - Fax:702-666-8633
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-04
Last Update Date:2021-04-19
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Provider Licenses
StateLicense IDTaxonomies
NVPA1809363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant