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Individual

DR. JAUDAT H KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1366 VICTORY BLVD, STATEN ISLAND, NY 10301-3907
(718) 273-3400
Mailing address
1366 VICTORY BLVD, STATEN ISLAND, NY 10301-3907
(718) 273-3400

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
270723
NY

Other

Enumeration date
02/05/2010
Last updated
12/24/2015
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