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NPI Code Detail

MEDICARE: DR. MADEEHA SABAHAT KHAN OD

MEDICARE:  DR. MADEEHA SABAHAT KHAN  OD
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
1152W00000XOptometrist27OA00740300NJ

General Provider Information

NPI Number : 1558223073
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MADEEHA SABAHAT KHAN OD
Provider Business Mailing Address
First Line : 11 CHROME AVE
Second Line :
City : CARTERET
State : NJ
Zip : 07008-3401
Country : US
Telephone Number : 848-234-4575
Fax Number :
Provider Business Practice Location Address
First Line : 860 W EDGAR RD
Second Line :
City : LINDEN
State : NJ
Zip : 07036-6604
Country : US
Telephone Number : 908-290-9246
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ DR. MADEEHA SABAHAT KHAN OD” Practice Location

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