Razwana Khanam, M.D.
Nurse Practitioner, Family in Springfield, MA. Individual provider (NPI-1).
NPI number1982199626
StatusActive
Last updated in NPPESAug 18, 2021
Details
- NPI
- 1982199626
- Entity type
- Individual (NPI-1)
- Name
- Razwana Khanam
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2018
- Certification date
- Aug 18, 2021
- Last updated
- Aug 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 286977 | MA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | MT214891 | PA |
Practice location
759 Chestnut StSpringfield, MA 01107-1619
Phone 413-794-6297 · Fax 413-794-1767
Mailing address
280 Chestnut St Fl 2Springfield, MA 01199-1001
Phone 413-794-5700
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All 198 Family Nurse Practitioner providers in Springfield · All 9,504 providers in Springfield
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