Khan, Amzad

Khan, Amzad is an individual health care provider with primary practice located at 234A Bank St. 4Th Floor, New London CT 06320-6054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Khan, Amzad can be contacted via phone (860) 442-0290.

Contact Information

Primary practice address
234A Bank St. 4Th Floor New London CT 06320-6054
Fax: (860) 442-2136
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 049522 Connecticut

Profile Details

NPI number 1790945996
LBN Legal business name Khan, Amzad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2008
Last updated Dec 17th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790945996 NPPES
Connecticut MEDICAID 008031151

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