Individual
ANGABEEN S KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320
(860) 444-5151
Mailing address
PO BOX 547, WINDSOR, CT 06095-0547
(860) 925-6482
(860) 611-4319
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
039503
CT
2085R0202X
Diagnostic Radiology Physician
246430
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1395038
—
CT
Enumeration date
11/18/2005
Last updated
02/14/2019
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