Individual
DR. AIJAZ KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
187 DOT CT, OCEANSIDE, NY 11572-5920
(516) 764-3310
(516) 766-0918
Mailing address
187 DOT CT, OCEANSIDE, NY 11572-5920
(516) 764-3310
(516) 766-0918
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2049621
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01933646
—
NY
Enumeration date
12/29/2005
Last updated
01/19/2012
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