Organization
GLOW WELLNESS CARE MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHAB KHAN (MD)
(347) 476-7399
Entity
Organization
Contact information
Practice address
3027 JERICHO TPKE, EAST NORTHPORT, NY 11731-6230
(516) 665-1476
(516) 620-3773
Mailing address
3027 JERICHO TPKE, EAST NORTHPORT, NY 11731-6230
(516) 665-1476
(516) 620-3773
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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