Samra Ejaz Khan
Physician Assistant · Kent, WA
Practice location
26004 104TH Ave SEKent, WA 98030-7677
- Phone
- (425) 251-4040
- Fax
- (425) 251-4126
NPI record
- NPI
- 1639650781
- Entity type
- Individual (Type 1)
- Enumeration date
- August 27, 2018
- Last updated
- April 22, 2021
- Certified
- April 22, 2021
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
PA61007133 | WA |
About Samra Khan
Samra Ejaz Khan is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 26004 104TH Ave SE, Kent, WA 98030-7677. The NPI number 1639650781 was assigned on August 27, 2018 and the record was last updated on April 22, 2021.
Samra Khan lists a license in the registry: #PA61007133 (WA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Samra Ejaz Khan?
The NPI number is 1639650781.
What is the phone number of Samra Khan?
The phone number listed for the practice location is (425) 251-4040.
Where is Samra Khan located?
26004 104TH Ave SE, Kent, WA 98030-7677.
What is the taxonomy code for Samra Khan?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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