MEDICARE: DR. NAZIA KHAN M.D.

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
1	207RX0202X	Medical Oncology Physician	MD488232C	PA
2	207RX0202X	Medical Oncology Physician	25MA08838200	NJ
3	207RH0003X	Hematology & Oncology Physician	25MA08838200	NJ
4	207R00000X	Internal Medicine Physician	25MA08838200	NJ
5	207RH0003X	Hematology & Oncology Physician	MD488232C	PA

General Provider Information

NPI Number	:	1700196581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAZIA KHAN M.D.

Provider Business Mailing Address
First Line	:	721 PARK RD
Second Line	:
City	:	MORRIS PLAINS
State	:	NJ
Zip	:	07950-2839
Country	:	US
Telephone Number	:	732-890-1138
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 ST LUKES LN STE 100
Second Line	:
City	:	STROUDSBURG
State	:	PA
Zip	:	18360-6218
Country	:	US
Telephone Number	:	484-503-4600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2010
Last Update Date	:	11/20/2025

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