Individual
ALIZA KHANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(212) 241-6500
Mailing address
16016 121ST AVE, JAMAICA, NY 11434-2409
(347) 791-6625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
316044
NY
207R00000X
Internal Medicine Physician
MD475860
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
316044
NY
208M00000X
Hospitalist Physician
MD475860
PA
Other
Enumeration date
06/05/2018
Last updated
04/17/2024
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