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Individual
NIDA KHAN
Active
Individual
NIDA KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
25MA09830800
NJ
2084P0800X
Psychiatry Physician
Primary
276218
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04030273
—
NY
Enumeration date
01/18/2013
Last updated
07/26/2016
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