Khokhar, Imtiaz A

Khokhar, Imtiaz A is an individual health care provider with primary practice located at 75 North Country Road , Port Jefferson NY 11777. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Khokhar, Imtiaz A can be contacted via phone (631) 473-1320.

Contact Information

Primary practice address
75 North Country Road Port Jefferson NY 11777
Fax: (631) 686-7972
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 197453 New York

Profile Details

NPI number 1629075387
LBN Legal business name Khokhar, Imtiaz A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Feb 6th, 2018 - about 6 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 1629075387 NPPES
New York MEDICAID 01720465

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