| Doctor Name: | WAJAHAT ALI KHAN |
| NPI Number: | 1093870172 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD00044018 |
| Business Practice Address: | 6401 Kimball Dr Gig Harbor, WA - 983351228 |
| Business Phone Number: | 2538589192 |
| Business Fax Number: | 2538584348 |
| Mailing Address: | 6401 Kimball Dr, GIG HARBOR |
| State: | WA |
| Postal Code: | 983351228 |
| Phone Number: | 2538589192 |
| Fax Number: | 2538584348 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 03/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD00044018 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |