Active NPIIndividual providerSole proprietor

Samina Khan, MD

Internal Medicine in Pompton Lakes, New Jersey

NPI Number1992764906
Practice location
17 Wanaque Avenue, Pompton Lakes, NJ 07442
Fax
973-617-1751
Last updated
June 13, 2019

Samina Khan is an Internal Medicine based in Pompton Lakes, NJ. Samina Khan practices in Pompton Lakes, NJ and has the professional credentials of MD. The NPI Number for Samina Khan is 1992764906 and holds a License No. 25MA07950000 (NJ). The current practice location address for Samina Khan is 17 Wanaque Avenue, Pompton Lakes, NJ 07442 and can be reached out via phone at 973-617-1750 and via fax at 973-617-1751.

Provider Profile Details

NPI Number
1992764906
Provider Name
Samina Khan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
17 Wanaque Avenue, Pompton Lakes, NJ 07442
Phone Number
973-617-1750
Fax Number
973-617-1751
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 20, 2006
Last Update Date
June 13, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
17 Wanaque Avenue
Pompton Lakes, NJ 07442
Zip
07442
Phone Number
973-617-1750
Fax Number
973-617-1751
Pompton Lakes, NJ 07442Get directions →

Provider Business Mailing Address Details

Address
Po Box 416457
Boston, MA 02241-6457
City
Boston
State
MA
Zip
02241-6457
Phone Number
844-362-1735
Fax Number
973-290-7495

License Information

License Number
25MA07950000
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · Primary

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 Samina Khan, MD?

The NPI number of Samina Khan, MD is 1992764906. It was assigned on March 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Samina Khan, MD?

Samina Khan, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA07950000.

Where does Samina Khan, MD practice?

The practice location is 17 Wanaque Avenue, Pompton Lakes, NJ 07442. The office can be reached at 973-617-1750 (phone) or 973-617-1751 (fax).

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 1992764906 directly on the NPPES registry website.

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