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1124508965
WARDAH ZIA KHAN
PORT JEFFERSON, NY
NPI
1124508965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 313402)
Enumeration Date
2018-08-21
Last Update Date
2021-10-14
Business Address
WARDAH ZIA KHAN MD
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2190
Phone number: 631-686-2517
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Mailing Address
WARDAH ZIA KHAN MD
1500 ROUTE 112 BUILDING 6, SUITE A
PORT JEFFERSON STATION, NY 11776
Phone number: 631-686-1413
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