Individual
DR. IMRAN AHMAD KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
42 E LAUREL RD STE 3100, ADMINISTRATIVE OFFICE, STRATFORD, NJ 08084-1354
(856) 566-6845
(856) 566-6906
Mailing address
42 E LAUREL RD STE 3100, ADMINISTRATIVE OFFICE, STRATFORD, NJ 08084-1354
(856) 566-6845
(856) 566-6906
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08885800
NJ
208M00000X
Hospitalist Physician
253657
NY
208M00000X
Hospitalist Physician
Primary
25MA08885800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0299065
—
NJ
Enumeration date
06/23/2009
Last updated
07/19/2013
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