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NPI Code Detail

MEDICARE: DR. QAMAR KHAN M.D.

MEDICARE:  DR. QAMAR  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
1208M00000XHospitalist Physician25MA10729300NJ

General Provider Information

NPI Number : 1568993632
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. QAMAR KHAN M.D.
Provider Business Mailing Address
First Line : 415-425 JACK MARTIN BLVD
Second Line :
City : BRICK TOWNSHIP
State : NJ
Zip : 08724-3314
Country : US
Telephone Number : 732-840-2200
Fax Number :
Provider Business Practice Location Address
First Line : 415-425 JACK MARTIN BLVD
Second Line :
City : BRICK TOWNSHIP
State : NJ
Zip : 08724
Country : US
Telephone Number : 732-840-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2017
Last Update Date : 03/12/2020

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Directions to “ DR. QAMAR KHAN M.D.” Practice Location

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