Azba Khan, DMD
Dentist, General Practice in Newark, New Jersey
1851001754- Practice location
- 639 Mount Prospect Ave, Newark, NJ 07104-3109
- Phone
- 973-481-3900
- Fax
- —
- Last updated
- December 15, 2023
Azba Khan is a Dentist, General Practice based in Newark, NJ. Azba Khan practices in Newark, NJ and has the professional credentials of DMD. The NPI Number for Azba Khan is 1851001754 and holds a License No. 22DI02939300 (NJ). The current practice location address for Azba Khan is 639 Mount Prospect Ave, Newark, NJ 07104-3109 and can be reached out via phone at 973-481-3900.
Provider Profile Details
- NPI Number
- 1851001754
- Provider Name
- Azba Khan
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 639 Mount Prospect Ave, Newark, NJ 07104-3109
- Phone Number
- 973-481-3900
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 1, 2022
- Last Update Date
- December 15, 2023
- Certification Date
- December 15, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 639 Mount Prospect Ave
Newark, NJ 07104-3109 - City
- Newark
- State
- New Jersey
- Zip
- 07104-3109
- Phone Number
- 973-481-3900
Provider Business Mailing Address Details
- Address
- 503 Morris Ave
Boonton, NJ 07005-1319 - City
- Boonton
- State
- NJ
- Zip
- 07005-1319
License Information
- License Number (1)
- 22DI02939300
- License State (1)
- NJ
- Taxonomy (1)
- Dentist · 122300000X
- License Number (2)
- 40152
- License State (2)
- TX
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Azba Khan, DMD?
The NPI number of Azba Khan, DMD is 1851001754. It was assigned on December 1, 2022 and is currently active in the NPPES registry.
What is the specialty of Azba Khan, DMD?
Azba Khan, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02939300.
Where does Azba Khan, DMD practice?
The practice location is 639 Mount Prospect Ave, Newark, NJ 07104-3109. The office can be reached at 973-481-3900 (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 1851001754 directly on the NPPES registry website.