Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Basema Khan

Individual provider Surgical Physician Assistant · NPI 1811590722

Basema Khan is a Physician Assistant in Washington, District of Columbia. Qualified in 2021, 5 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

110 Irving St NW
Washington, DC 20010-3017
Phone: (202) 877-5190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 825 Fairfax Ave, Norfolk, VA 23507-1914 — (757) 446-5600

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 034567 (NY)

Record details

NPI number1811590722
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 21, 2020
Last updated in NPPESApril 7, 2026
Certification dateApril 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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