Active NPIIndividual provider

Own D Khraisat, MD

Student in an Organized Health Care Education/Training Program in Englewood, New Jersey

NPI Number1679324453
Practice location
350 Engle Street, Department Of Medicine, Englewood, NJ 07631
Fax
—
Last updated
July 10, 2024

Own Dumam Mohammad Khraisat is a Student in an Organized Health Care Education/Training Program based in Englewood, NJ. Own Dumam Mohammad Khraisat practices in Englewood, NJ and has the professional credentials of MD. The NPI Number for Own Dumam Mohammad Khraisat is 1679324453. The current practice location address for Own Dumam Mohammad Khraisat is 350 Engle Street, Department Of Medicine, Englewood, NJ 07631 and can be reached out via phone at 201-894-3000.

Provider Profile Details

NPI Number
1679324453
Provider Name
Own Dumam Mohammad Khraisat
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
350 Engle Street, Department Of Medicine, Englewood, NJ 07631
Phone Number
201-894-3000
Sole Proprietor
No
Provider Enumeration Date
March 29, 2024
Last Update Date
July 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 Engle Street, Department Of Medicine
Englewood, NJ 07631
Zip
07631
Phone Number
201-894-3000
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
350 Engle Street, Department Of Medicine
Englewood, NJ 07631
City
Englewood
State
NJ
Zip
07631
Phone Number
201-894-3000

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Own D Khraisat, MD?

The NPI number of Own D Khraisat, MD is 1679324453. It was assigned on March 29, 2024 and is currently active in the NPPES registry.

What is the specialty of Own D Khraisat, MD?

Own D Khraisat, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Own D Khraisat, MD practice?

The practice location is 350 Engle Street, Department Of Medicine, Englewood, NJ 07631. The office can be reached at 201-894-3000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679324453 directly on the NPPES registry website.

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