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Individual

SAMAR KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 483-6559
(845) 483-6108
Mailing address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 483-6559
(845) 483-6108

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
243538
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
243538
NY
207RP1001X
Pulmonary Disease Physician
243538
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02866902
NY
Enumeration date
03/26/2007
Last updated
02/10/2017
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