| Dewan S Khan M.d. Pc | |
|
146 New Brunswick Ave Hopetown NJ 08861 | |
| (732) 697-1919 | |
| (800) 954-0789 |
| Full Name | Dewan S Khan M.d. Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 146 New Brunswick Ave, Hopetown, New Jersey |
| Authorized Official Name and Position | Dewan S Khan (OWNER) |
| Authorized Official Contact | 7326971919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dewan S Khan M.d. Pc Po Box 7438 East Brunswick NJ 08816 Ph: (732) 697-1919 | Dewan S Khan M.d. Pc 146 New Brunswick Ave Hopetown NJ 08861 Ph: (732) 697-1919 |
| NPI Number | 1104994649 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/02/2012 |
| Medicare PECOS PAC ID | 5991875536 |
|---|---|
| Medicare Enrollment ID | O20080609000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104994649 | NPI | - | NPPES |
| 7067801 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA61758 (New Jersey) | Primary |
| Provider Name | Dewan S Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306914825 PECOS PAC ID: 2769427657 Enrollment ID: I20050622000020 |
| Provider Name | Tanzim Khan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1316344138 PECOS PAC ID: 1658644562 Enrollment ID: I20170829000182 |