Khanam, Dilruba

Khanam, Dilruba is an individual health care provider with primary practice located at 1809 John F. Kennedy Blvd. Ground Floor, Jersey City NJ 07305. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Khanam, Dilruba can be contacted via phone (201) 763-6664.

Contact Information

Primary practice address
1809 John F. Kennedy Blvd. Ground Floor Jersey City NJ 07305
Phone: (201) 763-6664
Fax: (201) 763-6840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA07937600 New Jersey

Profile Details

NPI number 1548337322
LBN Legal business name Khanam, Dilruba
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Feb 1st, 2011 - about 13 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 1548337322 NPPES
New Jersey MEDICAID 0123315

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