Khan, Samina
Khan, Samina is an sole proprietor health care provider with primary practice located at 17 Wanaque Avenue , Pompton Lakes NJ 07442. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Khan, Samina can be contacted via phone (973) 617-1750.Contact Information
Primary practice address
17 Wanaque Avenue
Pompton Lakes NJ 07442
Phone: (973) 617-1750
Fax: (973) 617-1751
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA07950000 | New Jersey |
Profile Details
| NPI number | 1992764906 |
|---|---|
| LBN Legal business name | Khan, Samina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Jun 13th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992764906 | NPPES |
| New Jersey | MEDICAID | 0117226 |
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