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Dr. Djavlon A Khakimov, DPM
Student in an Organized Health Care Education/Training Program in Morristown, New Jersey
NPI 1285139261

Djavlon A Khakimov is a Student in an Organized Health Care Education/Training Program based in Morristown, NJ. Djavlon A Khakimov practices in Morristown, NJ and has the professional credentials of DPM. The NPI Number for Djavlon A Khakimov is 1285139261 and holds a License No. 25MD00360400 (New Jersey).

The current practice location address for Djavlon A Khakimov is 100 Madison Ave, Morristown, NJ and can be reached out via phone at 973-971-5000.

Location: 100 Madison Ave, Morristown, NJ, 07960-6136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285139261
Provider Name
Djavlon A Khakimov
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
100 Madison Ave, Morristown, NJ, 07960-6136
Phone Number
973-971-5000
Fax Number
Provider Enumeration Date
03/29/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00000000000000000000 05 NJ
institution
Provider Business Practice Location Address Details
Address
100 Madison Ave
City
Morristown
State
New Jersey
Zip
07960-6136
Phone Number
973-971-5000
Fax Number
person
Provider Business Mailing Address Details
Address
100 Madison Ave
City
Morristown
State
New Jersey
Zip
07960-6136
Phone Number
973-971-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
25MD00360400 (New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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