Provider Demographics
NPI:1578397121
Name:KHAN, WANIA NAJEEB
Entity type:Individual
Prefix:MISS
First Name:WANIA
Middle Name:NAJEEB
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 1:5300 GODFREY RD
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-4151
Mailing Address - Country:US
Mailing Address - Phone:954-501-1414
Mailing Address - Fax:
Practice Address - Street 1:5300 GODFREY RD
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33067-4151
Practice Address - Country:US
Practice Address - Phone:954-501-1414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program