Khaitov, Diana

Khaitov, Diana is an individual health care provider with primary practice located at 1 Clara Maass Dr Clara Maass Medical Center, Belleville NJ 07109-3550. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Khaitov, Diana can be contacted via phone (973) 450-2000.

Contact Information

Primary practice address
1 Clara Maass Dr Clara Maass Medical Center Belleville NJ 07109-3550
Phone: (973) 450-2000
Fax: (973) 251-1109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00183400 New Jersey

Profile Details

NPI number 1346564028
LBN Legal business name Khaitov, Diana
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2010
Last updated Mar 24th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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