Provider Demographics
NPI:1730338112
Name:KHAIR, TINA ASHLEY (DO)
Entity type:Individual
Prefix:DR
First Name:TINA
Middle Name:ASHLEY
Last Name:KHAIR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9050 IRON HORSE LN
Mailing Address - Street 2:APT 404
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-2154
Mailing Address - Country:US
Mailing Address - Phone:703-371-6346
Mailing Address - Fax:
Practice Address - Street 1:20 EXPEDITION TRL
Practice Address - Street 2:SUITE 101
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-8598
Practice Address - Country:US
Practice Address - Phone:717-334-4033
Practice Address - Fax:717-334-5599
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
PAOS015965207RH0003X
MDH0074458207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program