Individual provider · Type 1 NPI

Samiha Tasnim Khan, DO, MD, MPH

Student in an Organized Health Care Education/Training Program · Port Jefferson, NY

NPI number 1508660671 Active

Practice location

75 N Country Rd
Port Jefferson, NY 11777-2119

Call (631) 686-1443 Map

Fax (631) 686-7651

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508660671

Samiha Tasnim Khan, DO, MD, MPH's National Provider Identifier is 1508660671, issued on Apr 1, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Port Jefferson, NY. The record was last updated on Apr 1, 2025.