Provider Demographics
NPI:1639756778
Name:KHAN, MADIHA SAMEE (MD)
Entity type:Individual
Prefix:
First Name:MADIHA
Middle Name:SAMEE
Last Name:KHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:331 NEWMAN SPRINGS ROAD
Mailing Address - Street 2:BLDG. 2, SUITE 220
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701
Mailing Address - Country:US
Mailing Address - Phone:732-807-0877
Mailing Address - Fax:201-751-1680
Practice Address - Street 1:65 JAMES ST
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3947
Practice Address - Country:US
Practice Address - Phone:732-744-5703
Practice Address - Fax:732-906-4906
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2025-12-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA12399300208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics