Provider Demographics
NPI:1679304695
Name:KHEN, ELKE RIFUH
Entity type:Individual
Prefix:
First Name:ELKE
Middle Name:RIFUH
Last Name:KHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 RED CLAY RD APT 101
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-2321
Mailing Address - Country:US
Mailing Address - Phone:240-990-1586
Mailing Address - Fax:
Practice Address - Street 1:267 RED CLAY RD APT 101
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20724-2321
Practice Address - Country:US
Practice Address - Phone:240-990-1586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator