Individual
ATIF KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
195 LITTLE ALBANY ST, ROOM 1000, NEW BRUNSWICK, NJ 08901-1914
(732) 235-6572
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
036111937
IL
2085R0001X
Radiation Oncology Physician
Primary
25MA08267400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00650731
RR MCR PTAN
NJ
Enumeration date
05/09/2007
Last updated
01/23/2017
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