Individual
REHAN E KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP-BC
Contact information
Practice address
609 W 114TH ST, APT. 73, NEW YORK, NY 10025
(917) 597-3533
(212) 665-6895
Mailing address
609 W 114TH ST, APT. 73, NEW YORK, NY 10025-7972
(917) 597-3533
(212) 665-6895
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
632777
NY
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
343149
NY
208VP0014X
Interventional Pain Medicine Physician
Primary
343149
NY
363LF0000X
Family Nurse Practitioner
343149
NY
Other
Enumeration date
08/04/2010
Last updated
01/03/2025
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