Doctor Name: | DR. WAJAHAT HUSSAIN KHAN |
NPI Number: | 1932426905 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 25MA08700100 |
Business Practice Address: | 3546 State Route 27 Kendall Park, NJ - 088241065 |
Business Phone Number: | 7327377801 |
Business Fax Number: | 8776233456 |
Mailing Address: | 3546 State Route 27, KENDALL PARK |
State: | NJ |
Postal Code: | 088241065 |
Phone Number: | 7327377801 |
Fax Number: | 8776233456 |
NPI Enumeration Date: | 04/29/2010 |
NPI Last Update Date: | 06/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 25MA08700100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy 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. |