Khan, Anwar M

Khan, Anwar M is an individual health care provider with primary practice located at 536 Saybrook Rd , Middletown CT 06457-4783. He recently has only one registered license in Allopathic & Osteopathic Physicians / Therapeutic Radiology, which is considered as his primary health care specialty. Khan, Anwar M can be contacted via phone (860) 358-2100.

Contact Information

Primary practice address
536 Saybrook Rd Middletown CT 06457-4783
Phone: (860) 358-2100
Fax: (860) 358-2110
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X 041428 Connecticut

Profile Details

NPI number 1366431967
LBN Legal business name Khan, Anwar M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Nov 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366431967 NPPES
Connecticut MEDICAID 004000121

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