Individual
NIDA MUMTAZ KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 N 17TH ST STE 103, ALLENTOWN, PA 18104
(610) 969-3070
(610) 969-3073
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD465213
PA
Other
Enumeration date
06/13/2014
Last updated
08/20/2018
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