Individual
SAMIR KHANJAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 FRIENDSHIP ST, NEWPORT, RI 02840-2209
(401) 845-1652
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD19955
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
603202800
—
MD
01
—
P00216349
MEDICARE RAILROAD
MD
Enumeration date
05/15/2006
Last updated
04/11/2025
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