Individual
TAMANNA KHANAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
140 MAIN ST., POUGHKEEPSIE, NY 12601
(845) 454-7600
Mailing address
2626 HALPERIN AVE APT 301, BRONX, NY 10461-2631
(718) 618-0401
(347) 479-1301
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
P122558
NY
Other
Enumeration date
06/30/2023
Last updated
02/16/2024
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