Individual provider · Type 1 NPI

Basema Khan

Surgical Physician Assistant · Washington, DC

NPI number 1811590722 Active

Practice location

110 Irving St NW
Washington, DC 20010-3017

Call (202) 877-5190 Map

Mailing address

259 W Bute St # 2
Norfolk, VA 23510-1403

Other practice locations

  • 825 Fairfax Ave, Norfolk, VA 23507-1914 · (757) 446-5600

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X034567 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1811590722

Basema Khan's National Provider Identifier is 1811590722, issued on Nov 21, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Washington, DC. The record was last updated on Apr 7, 2026.