| Doctor Name: | DAVID B. KHAN |
| NPI Number: | 1184677494 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A. |
| License Number: | 25MP00144100 |
| Business Practice Address: | 1 Diamond Hill Rd Summit Medical Group Berkeley Heights, NJ - 079222104 |
| Business Phone Number: | 9082734300 |
| Business Fax Number: | 9082778876 |
| Mailing Address: | 1 Diamond Hill Rd, Summit Medical Group BERKELEY HEIGHTS |
| State: | NJ |
| Postal Code: | 079222104 |
| Phone Number: | 9082734300 |
| Fax Number: | 9082778876 |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 03/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 25MP00144100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |