Individual
YASMEEN KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
171 ELMORA AVE, ELIZABETH, NJ 07202-1169
(201) 560-7611
Mailing address
PO BOX 656, SADDLE RIVER, NJ 07458-0656
(201) 560-7611
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08381900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098-334-996
PERMANENT RESIDENT CARD
—
Enumeration date
06/23/2006
Last updated
02/18/2024
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