Khan, Bushra
Khan, Bushra is an individual health care provider with primary practice located at 152 Conant Street Lahey Beverly, Beverly MA 01915-2511. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Khan, Bushra can be contacted via phone (978) 927-1919.Contact Information
Primary practice address
152 Conant Street Lahey Beverly
Beverly MA 01915-2511
Phone: (978) 927-1919
Fax: (978) 927-6102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 216721 | Massachusetts |
Profile Details
| NPI number | 1205882966 |
|---|---|
| LBN Legal business name | Khan, Bushra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Apr 23rd, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205882966 | NPPES |
| Massachusetts | MEDICAID | 110038108A |
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