Individual
IBTESAM KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-1000
Mailing address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
299222
NY
Other
Enumeration date
07/01/2016
Last updated
11/01/2019
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