MEDICARE: AMTUL KHALEQ 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
1	207V00000X	Obstetrics & Gynecology Physician	25MA03559700	NJ

General Provider Information

NPI Number	:	1700978004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMTUL KHALEQ M.D.

Provider Business Mailing Address
First Line	:	3624 KENNEDY BLVD.
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07307
Country	:	US
Telephone Number	:	201-656-3024
Fax Number	:

Provider Business Practice Location Address
First Line	:	3624 J F KENNEDY BLVD.
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07307-3204
Country	:	US
Telephone Number	:	201-656-3024
Fax Number	:

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

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1467939793 — DR. VINH Q LY DMD
Practice Location Address:

3630 JOHN F KENNEDY BLVD
JERSEY CITY, NJ
07307-3204

Practice Phone: 201-222-5288
Practice Fax:

1205136215 — OLUKEMI OWOSENI NP
Practice Location Address:

196 DWIGHT ST
JERSEY CITY, NJ
07305-3204

Practice Phone: 551-258-4422
Practice Fax: 551-214-0210

1518602754 — HARMONY & UNITY MENTAL HEALTH
Practice Location Address:

196 DWIGHT ST
JERSEY CITY, NJ
07305-3204

Practice Phone: 551-258-4422
Practice Fax:

1710118013 — ALLEN TRAN M.D.
Practice Location Address:

100 THE CITY DR S
ORANGE, CA
92868-3204

Practice Phone: 714-456-5501
Practice Fax:

1467813477 — JULIE BURKE IADC
Practice Location Address:

3232 W 4TH ST
SIOUX CITY, IA
51103-3204

Practice Phone: 712-202-0957
Practice Fax: 712-224-3092

1407200041 — DCI HOLDINGS, INC
Practice Location Address:

3414 RAINBOW PKWY
RAINBOW CITY, AL
35906-3204

Practice Phone: 256-622-0741
Practice Fax: 256-467-4605

Directions to “ AMTUL KHALEQ M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.