Provider Demographics
NPI:1538337241
Name:KHAN, AFRA H (BPHARM)
Entity type:Individual
Prefix:MRS
First Name:AFRA
Middle Name:H
Last Name:KHAN
Suffix:
Gender:F
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:152 FLORAL PKWY
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-3428
Mailing Address - Country:US
Mailing Address - Phone:516-292-0622
Mailing Address - Fax:516-292-0662
Practice Address - Street 1:1121 JERUSALEM AVE
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-3004
Practice Address - Country:US
Practice Address - Phone:516-292-0622
Practice Address - Fax:516-292-0662
Is Sole Proprietor?:No
Enumeration Date:2008-02-15
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051458183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist