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NPI Code Detail

MEDICARE: NAYAB KHAN DDS

MEDICARE: NAYAB KHAN DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist2901601917VA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1225651185
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAYAB KHAN DDS
Provider Business Mailing Address
First Line : 3319 SARACEN WAY
Second Line :
City : VERONA
State : WI
Zip : 53593-9500
Country : US
Telephone Number : 608-658-5142
Fax Number :
Provider Business Practice Location Address
First Line : 2921 11TH ST S
Second Line :
City : ARLINGTON
State : VA
Zip : 22204-0827
Country : US
Telephone Number : 703-979-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2020
Last Update Date : 10/13/2025

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