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NPI Code Detail

MEDICARE: DR. IMTIAZ A KHOKHAR M.D.

MEDICARE: DR. IMTIAZ A KHOKHAR 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
1207R00000XInternal Medicine Physician197453NY
2207R00000XInternal Medicine PhysicianC1-0024522DE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629075387
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IMTIAZ A KHOKHAR M.D.
Provider Business Mailing Address
First Line : 1515 SAVANNAH RD
Second Line :
City : LEWES
State : DE
Zip : 19958-1675
Country : US
Telephone Number : 302-645-3499
Fax Number : 302-644-4830
Provider Business Practice Location Address
First Line : 424 SAVANNAH RD
Second Line :
City : LEWES
State : DE
Zip : 19958-1462
Country : US
Telephone Number : 302-645-3525
Fax Number : 302-645-3513
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 06/04/2025

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