Provider Demographics
NPI:1356793921
Name:KHAN, MARTA (PA-C)
Entity type:Individual
Prefix:
First Name:MARTA
Middle Name:
Last Name:KHAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:8301 GOLDEN VALLEY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55427-4475
Mailing Address - Country:US
Mailing Address - Phone:763-233-5755
Mailing Address - Fax:
Practice Address - Street 1:3366 OAKDALE AVE N STE 150
Practice Address - Street 2:
Practice Address - City:ROBBINSDALE
Practice Address - State:MN
Practice Address - Zip Code:55422
Practice Address - Country:US
Practice Address - Phone:763-233-5755
Practice Address - Fax:763-233-5782
Is Sole Proprietor?:No
Enumeration Date:2016-07-07
Last Update Date:2025-08-15
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical