Provider Demographics
NPI:1528253408
Name:KHAN, MUHAMMAD KHURRAM (MD)
Entity type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:KHURRAM
Last Name:KHAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3 PLAZA DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08757-3759
Mailing Address - Country:US
Mailing Address - Phone:732-341-1380
Mailing Address - Fax:732-505-9296
Practice Address - Street 1:3 PLAZA DR
Practice Address - Street 2:SUITE 2
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08757-3759
Practice Address - Country:US
Practice Address - Phone:732-341-1380
Practice Address - Fax:732-505-9296
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2015-12-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09365600207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0399566Medicaid
NJ325536BYLMedicare PIN