Khan, Wardah Zia

Khan, Wardah Zia is an individual health care provider with primary practice located at 75 N Country Rd , Port Jefferson NY 11777-2190. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Khan, Wardah Zia can be contacted via phone (631) 686-2517.

Contact Information

Primary practice address
75 N Country Rd Port Jefferson NY 11777-2190
Phone: (631) 686-2517
Fax: (631) 686-7651
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 313402 New York

Profile Details

NPI number 1124508965
LBN Legal business name Khan, Wardah Zia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2018
Last updated Oct 14th, 2021 - about 5 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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