Provider Demographics
NPI:1467747105
Name:PREFERRED ULTRASOUND CENTER
Entity Type:Organization
Organization Name:PREFERRED ULTRASOUND CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:KAMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAZAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-994-5197
Mailing Address - Street 1:225 WILLIAMSON ST
Mailing Address - Street 2:ROOM 312
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07202-3625
Mailing Address - Country:US
Mailing Address - Phone:908-994-5197
Mailing Address - Fax:908-994-5742
Practice Address - Street 1:65 JEFFERSON AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07201-2474
Practice Address - Country:US
Practice Address - Phone:908-994-5402
Practice Address - Fax:908-558-0190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ261QR0200X
261QR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology