OrganizationActive
Adult and Geriatric Medicine PLLC
NPI 1639590987 · Internal Medicine Physician · Burien, WA
Provider details
- NPI number
- 1639590987
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lubna Khan, Provider/Owner(206) 957-6036
- License
- MD00038733 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
801 Sw 150th St
Suite 230
Burien, WA 98166-1855
Phone: (206) 957-6036
Fax: (206) 257-1181
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 97115
Lakewood, WA 98497-0115
Registry dates
- Enumerated
- 2014-01-03
- Last updated
- 2014-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.