Individual
NISAR KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 E 1ST ST, BLOOMSBURG, PA 17815-1480
(570) 387-2055
(570) 387-2056
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
MD475877
PA
Other
Enumeration date
04/25/2018
Last updated
11/12/2025
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