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General NPI Number Information
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NPI Number | 1730635020
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Entity Type | Individual
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Provider Name | ZOHEIR KHAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 61 POMEROY AVE
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City | MERIDEN
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State | CT
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Zip | 06450-7482
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Country | US
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Telephone | 203-694-5444
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Fax | 203-694-5373
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Provider Business Mailing Address
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Address Line | 61 POMEROY AVE
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City | MERIDEN
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State | CT
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Zip | 06450-7482
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Country | US
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Telephone | 203-694-5444
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Fax | 203-694-5373
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 070168
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 37780
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 37780
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License Number State | OK
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | MT212093
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License Number State | PA
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