Individual
ADEEN SHAKIL KHOKHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
268 DR MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102-2011
(973) 877-5080
Mailing address
2365 BOSTON POST RD, STE 200, LARCHMONT, NY 10538-3559
(914) 834-0111
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00359500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
04/26/2018
Last updated
05/23/2021
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