# NAMI KHULUSI MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417092776
- **Authorized official:** EILEEN KENNY (OFF. MGR.)
- **Authorized official phone:** (718) 819-2920

## Contact information

- **Practice address:** 74 US HIGHWAY 9, ENGLISHTOWN, NJ 07726-9209
- **Practice address phone:** (718) 819-2920
- **Practice address fax:** (718) 819-2923
- **Mailing address:** 74 ROUTE 9 NORTH, ENGLISHTOWN, NJ 07726
- **Mailing address phone:** (718) 819-2920
- **Mailing address fax:** (718) 819-2923

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA06313900 | NJ | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 08/22/2020