Provider Demographics
NPI:1144326034
Name:KHAN, NAHEED A (MD)
Entity type:Individual
Prefix:DR
First Name:NAHEED
Middle Name:A
Last Name:KHAN
Suffix:
Gender:F
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:PO BOX 712
Mailing Address - Street 2:167 NEW JERSEY AVE
Mailing Address - City:ABSECON
Mailing Address - State:NJ
Mailing Address - Zip Code:08201
Mailing Address - Country:US
Mailing Address - Phone:609-927-7100
Mailing Address - Fax:609-927-7103
Practice Address - Street 1:1401 NEW RD
Practice Address - Street 2:SUITE 1B
Practice Address - City:LINWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08221-1121
Practice Address - Country:US
Practice Address - Phone:609-927-7100
Practice Address - Fax:609-927-7103
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA034098002081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
4525993OtherAETNA
NJ61588OtherAMERIGROUP
1108388OtherHORIZON MERCY
NJ91000516500OtherAMERICHOICE
NJ1572903Medicaid
P3629744OtherOXFORD
0047457OtherAETNA HMO
2367314000OtherAMERIHEALTH
4525993OtherAETNA
170189Medicare ID - Type Unspecified