Provider Demographics
NPI:1871082321
Name:KHAN, ZARA (QBHS)
Entity type:Individual
Prefix:
First Name:ZARA
Middle Name:
Last Name:KHAN
Suffix:
Gender:F
Credentials:QBHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5719 LAURA LN
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-7339
Mailing Address - Country:US
Mailing Address - Phone:614-961-7639
Mailing Address - Fax:
Practice Address - Street 1:5719 LAURA LN
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7339
Practice Address - Country:US
Practice Address - Phone:614-961-7639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-09
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator