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Individual

DR. RAFIYA S KHAKOO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
721 N BEERS ST, SUITE 2H, HOLMDEL, NJ 07733-1518
(732) 616-4751
(732) 332-1339
Mailing address
154 FIELDSTONE DR, MORGANVILLE, NJ 07751-2048
(732) 616-4751
(732) 332-1339

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA06580700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
130022634
RAILROAD MEDICARE
01
1954801
UNITED HEALTHCARE
05
7501200
NJ
01
P2076457
OXFORD HEALTH PLAN
Enumeration date
02/21/2006
Last updated
01/26/2011
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