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NPI Code Detail

MEDICARE: TASFIA ANJUM KHAN

MEDICARE: TASFIA ANJUM KHAN
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 PhysicianP122560NY

General Provider Information

NPI Number : 1679250633
Entity Type Code : Individual
Provider Name (Legal Business Name) : TASFIA ANJUM KHAN
Provider Business Mailing Address
First Line : 10469 NW 289TH AVE
Second Line :
City : NORTH PLAINS
State : OR
Zip : 97133-2044
Country : US
Telephone Number : 469-386-8270
Fax Number :
Provider Business Practice Location Address
First Line : 425 BEACH AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14612-2011
Country : US
Telephone Number : 917-686-6162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2023
Last Update Date : 06/30/2023

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Directions to “ TASFIA ANJUM KHAN ” Practice Location

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