Provider Demographics
NPI:1932969409
Name:KHAN, AYESHA (MD, MBA, MPH)
Entity Type:Individual
Prefix:DR
First Name:AYESHA
Middle Name:
Last Name:KHAN
Suffix:
Gender:F
Credentials:MD, MBA, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44483-6608
Mailing Address - Country:US
Mailing Address - Phone:330-675-5706
Mailing Address - Fax:330-675-5720
Practice Address - Street 1:5170 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-1022
Practice Address - Country:US
Practice Address - Phone:330-759-2511
Practice Address - Fax:330-800-3547
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program