Individual
KARISHMA KARIM KHETANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 BERGEN ST RM I-248, NEWARK, NJ 07103-2496
(973) 972-6056
Mailing address
150 BERGEN STREET, UNIVERSITY HOSPITAL BUILDING / ROOM I-248, NEWARK, NJ 07101
(913) 244-8452
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA12097300
NJ
Other
Enumeration date
04/03/2020
Last updated
07/27/2024
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