Individual
JOHN J KHADEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
20 W 13TH ST, NEW YORK, NY 10011-7995
(212) 604-9800
(212) 242-4757
Mailing address
20 W 13TH ST, NEW YORK, NY 10011-7995
(212) 604-9800
(212) 242-4757
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
219303
NY
Other
Enumeration date
12/26/2005
Last updated
10/07/2020
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