MEDICARE: GULI KHAN MD

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
1	207P00000X	Emergency Medicine Physician	25MA05369400	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	47993-NON PAR	OTHER	NJ	UHP

General Provider Information

NPI Number	:	1669509741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GULI KHAN MD

Provider Business Mailing Address
First Line	:	2 ABATE DR
Second Line	:
City	:	MILLSTONE TOWNSHIP
State	:	NJ
Zip	:	08510-8773
Country	:	US
Telephone Number	:	732-662-5946
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 ABATE DR
Second Line	:
City	:	MILLSTONE TOWNSHIP
State	:	NJ
Zip	:	08510-8773
Country	:	US
Telephone Number	:	732-662-5946
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	07/31/2009

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