AZEEM KHAN MD
Physician/surgeon


Address: 55 Central Park West, New York, NY 10023

AZEEM KHAN MD (Credential# 553243) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 21, 1997. The license expiration date date is July 31, 1998. The license status is INACTIVE.

Business Overview

AZEEM KHAN MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.035650. The credential type is physician/surgeon. The effective date is May 21, 1997. The expiration date is July 31, 1998. The business address is 55 Central Park West, New York, NY 10023. The current status is inactive.

Basic Information

Licensee Name AZEEM KHAN MD
Credential ID 553243
Credential Number 1.035650
Credential Type Physician/Surgeon
Business Address 55 Central Park West
New York
NY 10023
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1996-10-25
Effective Date 1997-05-21
Expiration Date 1998-07-31
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
53315 CSP.0024969 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1996-11-26 - 1997-02-28 INACTIVE

Office Location

Street Address 55 CENTRAL PARK WEST
City NEW YORK
State NY
Zip Code 10023

Licenses in the same location

Licensee Name Office Address Credential Effective / Expiration
Kristin D Conforti 55 Central Park West, New York, NY 10023 Physical Therapist ~

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Juan C Estupinan Beltran Md 20 West 64th Street, New York, NY 10023 Physician/surgeon 2020-05-01 ~ 2021-04-30
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City NEW YORK
Zip Code 10023
License Type Physician/Surgeon
License Type + County Physician/Surgeon + NEW YORK

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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