Provider Demographics
NPI:1386204303
Name:KHAN, ARIF N
Entity Type:Individual
Prefix:
First Name:ARIF
Middle Name:N
Last Name:KHAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 LINCOLN BLVD
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NJ
Mailing Address - Zip Code:08846-2361
Mailing Address - Country:US
Mailing Address - Phone:732-667-7245
Mailing Address - Fax:732-667-7246
Practice Address - Street 1:242 LINCOLN BLVD
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NJ
Practice Address - Zip Code:08846-2361
Practice Address - Country:US
Practice Address - Phone:732-667-7245
Practice Address - Fax:732-667-7246
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-20
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy