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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548337322 | NPPES |
| New Jersey | MEDICAID | 0123315 |
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