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Contact Information

WARDAH Z KHAN, MD
75 N COUNTRY RD
PORT JEFFERSON, NY11777-2190
 Phone: 631-686-2517
 Fax: 631-686-7651
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WARDAH Z KHAN · (Female)

NPI # 1124508965
Status Active
Credentials MD
Entity Individual
Enumeration date 08/21/2018
Last updated 10/14/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 313402
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
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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