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1780316216
ISHETA KHANOM
FALLS CHURCH, VA
NPI
1780316216
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: VA 0116036832)
Enumeration Date
2022-06-24
Last Update Date
2022-06-24
Business Address
ISHETA KHANOM MD
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3307
Phone number: 703-776-3582
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Mailing Address
ISHETA KHANOM MD
3300 GALLOWS RD DEPT OF
FALLS CHURCH, VA 22042-3307
Phone number: 703-776-3582
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