Provider Demographics
NPI:1730635020
Name:KHAN, ZOHEIR (MD)
Entity type:Individual
Prefix:
First Name:ZOHEIR
Middle Name:
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 1:61 POMEROY AVE
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450-7482
Mailing Address - Country:US
Mailing Address - Phone:203-694-5444
Mailing Address - Fax:203-694-5373
Practice Address - Street 1:61 POMEROY AVE
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-7482
Practice Address - Country:US
Practice Address - Phone:203-694-5444
Practice Address - Fax:203-694-5373
Is Sole Proprietor?:No
Enumeration Date:2016-08-28
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT070168207RI0200X
OK37780207RI0200X, 208M00000X
PAMT212093390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program