Individual
KHOKON KUMAR SAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8815 168TH ST APT 1M, JAMAICA, NY 11432-4305
(646) 552-7832
Mailing address
8815 168TH ST APT 1M, JAMAICA, NY 11432-4305
(646) 552-7832
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
021938
—
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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