MEDICARE: DR. NOROZE J 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	207RI0200X	Infectious Disease Physician	25MA04209600	NJ
2	207RI0200X	Infectious Disease Physician	MA04209660	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

General Provider Information

NPI Number	:	1972580835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NOROZE J KHAN MD

Provider Business Mailing Address
First Line	:	20 LINCOLN ST
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07307-2933
Country	:	US
Telephone Number	:	201-963-3570
Fax Number	:	201-526-0461

Provider Business Practice Location Address
First Line	:	20 LINCOLN ST
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07307-2933
Country	:	US
Telephone Number	:	201-963-3570
Fax Number	:	201-526-0461

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

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	03/05/2017

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