Provider Demographics
NPI:1528285921
Name:KHALID, AYESHA NAZ (MD)
Entity type:Individual
Prefix:
First Name:AYESHA
Middle Name:NAZ
Last Name:KHALID
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:133 ORNAC
Mailing Address - Street 2:CREDENTIALS OFFICE
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-4159
Mailing Address - Country:US
Mailing Address - Phone:978-287-3018
Mailing Address - Fax:978-287-3122
Practice Address - Street 1:59 OLD ROAD TO 9 ACRE COR
Practice Address - Street 2:SUITE 3
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-3317
Practice Address - Country:US
Practice Address - Phone:978-287-7499
Practice Address - Fax:978-287-1191
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2012-08-28
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Provider Licenses
StateLicense IDTaxonomies
PAMT181394207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology