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Razwana Khanam, MD
Family Nurse Practitioner in Springfield, Massachusetts
NPI 1982199626

Razwana Khanam is a Family Nurse Practitioner based in Springfield, MA and is specialized in Family. Razwana Khanam practices in Springfield, MA and has the professional credentials of MD. The NPI Number for Razwana Khanam is 1982199626 and holds a License No. MT214891 (Massachusetts).

The current practice location address for Razwana Khanam is 759 Chestnut St, Springfield, MA and can be reached out via phone at 413-794-6297 and via fax at 413-794-1767.

Location: 759 Chestnut St, Springfield, MA, 01199-1001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982199626
Provider Name
Razwana Khanam
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
759 Chestnut St, Springfield, MA, 01199-1001
Phone Number
413-794-6297
Fax Number
413-794-1767
Provider Enumeration Date
06/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
759 Chestnut St
City
Springfield
State
Massachusetts
Zip
01107-1619
Phone Number
413-794-6297
Fax Number
413-794-1767
person
Provider Business Mailing Address Details
Address
759 Chestnut St
City
Springfield
State
Massachusetts
Zip
01107-1619
Phone Number
413-794-6297
Fax Number
413-794-1767
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
286977 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MT214891 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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