Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | P44504 | NY |
N | 207RP1001X | Pulmonary Disease | P44504 | NY |
NPI | 1013020197 |
---|---|
Provider Name | Dr. Tehmina Khan |
First Address | Brooklyn, NY 11219-2923 |
Second Address | Brooklyn, NY 11219-2923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02717811 | (05) | NY |
I47667 | (02) | NY |