Individual
TASNEEM AHMAD KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1635 CENTRAL AVENUE, ROOM 213 SOUTHWEST CT MENTAL HEALTH SYSTEM, BRIDGEPORT, CT 06610
(203) 551-7660
(203) 551-7481
Mailing address
1635 CENTRAL AVENUE, ROOM 213 SOUTHWEST CT MENTAL HEALTH SYSTEM, BRIDGEPORT, CT 06610
(203) 551-7660
(203) 551-7481
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
034005
CT
Other
Enumeration date
11/01/2006
Last updated
12/22/2021
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