Individual
SOPHIA S KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
100 CENTURY PKWY STE 140, MOUNT LAUREL, NJ 08054-1149
(856) 380-2400
(856) 234-7870
Mailing address
100 CENTURY PKWY STE 140, MOUNT LAUREL, NJ 08054-1149
(856) 380-2400
(856) 234-7870
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116021677
VA
207Q00000X
Family Medicine Physician
Primary
25MA09247800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0357855
—
NJ
Enumeration date
07/07/2009
Last updated
06/25/2024
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