Provider Demographics
NPI:1932426905
Name:KHAN, WAJAHAT HUSSAIN (MD)
Entity Type:Individual
Prefix:DR
First Name:WAJAHAT
Middle Name:HUSSAIN
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 1:3546 STATE ROUTE 27
Mailing Address - Street 2:
Mailing Address - City:KENDALL PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08824-1065
Mailing Address - Country:US
Mailing Address - Phone:732-737-7801
Mailing Address - Fax:877-623-3456
Practice Address - Street 1:3546 STATE ROUTE 27
Practice Address - Street 2:
Practice Address - City:KENDALL PARK
Practice Address - State:NJ
Practice Address - Zip Code:08824-1065
Practice Address - Country:US
Practice Address - Phone:732-737-7801
Practice Address - Fax:877-623-3456
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08700100207RC0200X, 207RP1001X, 207RS0012X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine