Saqib Ishaq Khan
Individual provider Active NPI Driver · Red Bank, NJ
NPI 1760269781 · NPPES record last updated Sep 12, 2023
Key facts
- NPI
- 1760269781
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- K31756916910912 (NJ)
- Practice address
- 58 Richard Ter
Red Bank, NJ 07701-6242 - Phone
- (908) 324-8779
- NPI assigned
- Sep 12, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K31756916910912 | NJ | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | K31756916910912 | NJ | Yes |
Addresses
Primary practice location
58 Richard Ter
Red Bank, NJ 07701-6242
Mailing address
58 Richard Ter
Red Bank, NJ 07701-6242
Phone (908) 324-8779
Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.