Provider Demographics
NPI:1043471667
Name:KHAN, ABRAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ABRAR
Middle Name:
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ETHEL RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2838
Mailing Address - Country:US
Mailing Address - Phone:732-287-6663
Mailing Address - Fax:732-287-6664
Practice Address - Street 1:499 ERNSTON RD
Practice Address - Street 2:
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-1406
Practice Address - Country:US
Practice Address - Phone:732-707-4676
Practice Address - Fax:732-372-0211
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09033800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0282472Medicaid
NJ234864Medicare PIN