Kousai O Ali Khan, PA

NPI #1023528312 in Gloversville, New York

Provider Information

NPI Number: 1023528312
Entity Type: Individual
Name: Kousai O Ali Khan, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 2, 2017
Last Updated: Mar 17, 2018

Practice Location

Address: 99 E STATE ST
City: Gloversville
State: New York
ZIP Code: 12078-1203
Phone: (518) 725-8621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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