Provider Demographics
NPI:1184001174
Name:TAUQEER, KHAULA (MD)
Entity Type:Individual
Prefix:
First Name:KHAULA
Middle Name:
Last Name:TAUQEER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SUNNY SLOPE DR
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-7140
Mailing Address - Country:US
Mailing Address - Phone:718-775-5284
Mailing Address - Fax:
Practice Address - Street 1:1801 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:ATLANTIC CITY
Practice Address - State:NJ
Practice Address - Zip Code:08401-6804
Practice Address - Country:US
Practice Address - Phone:609-570-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-29
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY295747207Q00000X
NJ25MA10463700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine