Individual
ANWAR M KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
536 SAYBROOK RD, MIDDLETOWN, CT 06457-4783
(860) 358-2100
(860) 358-2110
Mailing address
760 SAYBROOK RD, MIDDLETOWN, CT 06457-4785
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
041428
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004000121
—
CT
Enumeration date
10/17/2005
Last updated
11/16/2010
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