Healthcare Provider Details

I. General information

NPI: 1700196581
Provider Name (Legal Business Name): NAZIA KHAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2010
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 ST LUKES LN STE 100
STROUDSBURG PA
18360-6218
US

IV. Provider business mailing address

721 PARK RD
MORRIS PLAINS NJ
07950-2839
US

V. Phone/Fax

Practice location:
  • Phone: 484-503-4600
  • Fax:
Mailing address:
  • Phone: 732-890-1138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA08838200
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number25MA08838200
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD488232C
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberMD488232C
License Number StatePA
# 5
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number25MA08838200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: