NISAR KHAN, MD, Addiction Medicine BLOOMSBURG, PA

Contact Information

NISAR KHAN, MD

425 E 1ST ST
BLOOMSBURG, PA 17815-1480

Phone: 570-387-2055
Fax: 570-387-2056
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Addiction Medicine	2083A0300X	84	Physician/Preventive Medicine

Indicates primary specialty

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NPI Profile & details for NISAR KHAN · (Male)

NPI Number	`1437647468`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	04/25/2018
Last updated	11/12/2025 - About 7 months ago
Sole proprietor ¹	No
Identifiers	PA License # MD475877
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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NISAR KHAN, MD – NPI #1437647468Addiction Medicine

Contact Information

Specialty

Addiction Medicine

NPI Profile & details for NISAR KHAN · (Male)

Reviews for NISAR KHAN

NISAR KHAN, MD – NPI #1437647468
Addiction Medicine