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General NPI Number Information
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NPI Number | 1013863422
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Entity Type | Organization
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Legal Business Name | QKHANMD SERVICES LLC
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 425 JACK MARTIN BLVD
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City | BRICK
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State | NJ
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Zip | 08724-7732
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Country | US
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Telephone | 848-242-6303
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Fax |
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Provider Business Mailing Address
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Address Line | 29 CRIMSON DR
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City | MANALAPAN
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State | NJ
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Zip | 07726-3805
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | QAMAR KHAN
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Credential | MD
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Telephone | 848-242-6303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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