Individual
DR. OSMAN ALI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6100
Mailing address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-6100
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
019.034194
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2023
Last updated
06/26/2023
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