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Individual

DR. ABU N.G.A. KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MSC

Contact information

Practice address
622 W 168TH ST PH 260, NEW YORK, NY 10032-3720
(212) 305-9825
(212) 544-1974
Mailing address
227 SHERIDAN AVE, MOUNT VERNON, NY 10552-1406
(718) 796-0682

Taxonomy

Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
200732
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01642382
NY
Enumeration date
03/21/2006
Last updated
08/25/2023
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