Individual
ASIM NISAR KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2 HILLCREST AVE, MONTVALE, NJ 07645-2228
(630) 300-3762
Mailing address
POBOX 10437, DHAHRAN, EASTERN 31311
011966508285482
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036150347
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
206425
NY
Other
Enumeration date
11/26/2016
Last updated
12/15/2023
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