Individual
AYESHA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
20 PROSPECT AVE, HACKENSACK, NJ 07601-1997
(551) 996-2442
(201) 343-1045
Mailing address
20 PROSPECT AVE, HACKENSACK, NJ 07601-1997
(551) 996-2442
(201) 343-1045
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA11213600
NJ
208100000X
Physical Medicine & Rehabilitation Physician
D86418
MD
Other
Enumeration date
05/29/2014
Last updated
11/15/2021
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