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Individual

ASIM H KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1919 GREENTREE RD, CHERRY HILL, NJ 08003-1115
(856) 577-1435
(856) 780-6219
Mailing address
200 WALT WHITMAN AVE UNIT 1268, MOUNT LAUREL, NJ 08054-8060
(856) 577-1435
(856) 780-6219

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA08401600
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA08401600
NJ
2086S0129X
Vascular Surgery Physician
25MA08401600
NJ
208VP0000X
Pain Medicine Physician
25MA08401600
NJ
208VP0014X
Interventional Pain Medicine Physician
Primary
25MA08401600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
222041639
TAX ID
NJ
Enumeration date
05/19/2008
Last updated
04/01/2021
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