SAMRA EJAZ KHAN
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1639650781- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 26004 104TH AVE SE, KENT, WA, 980307677
- Phone
- (425) 251-4040
- Fax
- (425) 251-4126
Specialties & Taxonomies
Physician Assistant
Primary License: WA #PA61007133