Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 25MA07863700 | NJ |
N | 208000000X | Pediatrician | MD426054 | PA |
Y | 2080P0202X | Pediatric Cardiologist | 25MA07863700 | NJ |
N | 2080P0202X | Pediatric Cardiologist | MD426054 | PA |
NPI | 1073522033 |
---|---|
Provider Name | Sadaf A Khan |
First Address | Monroetwp., NJ 08831-5923 |
Second Address | Monroe Twp., NJ 08831-5923 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 07/01/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0074969 | (05) | NJ |
101339653 | (05) | PA |
I31776 | (02) |