DR. JAKAULLA KHAN


Address: 1003 Main Ave, Clifton, NJ 07011-2333
Phone: 9737779595

DR. JAKAULLA KHAN (NPI# 1306936349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306936349
Entity Type Individual
Full Name DR. JAKAULLA KHAN
Credential MD
Practice Address 1003 Main Ave
Clifton
NJ 07011-2333
Mailing Address 1739 E Beverly Ave
Ste 208
Kingman
AZ 86409-3593
Practice Telephone 9737779595
Mailing Telephone 2015129494
Enumeration Date 2006-10-13
Last Update Date 2016-10-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0200X Internal Medicine
Specialization: Infectious Disease
37755 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 6707301 05

Office Location

Street Address 1003 MAIN AVE
City CLIFTON
State NJ
Zip Code 07011-2333

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588758809 Muhammad Tahir Selevany Internal Medicine 1003 Main Ave, Clifton, NJ 07011-2333 2006-10-03
1033269915 Selevany Medical Group, Inc Specialist 1003 Main Ave, Clifton, NJ 07011-2333 2007-01-11
1013078385 Clifton Medical Center, Inc Family Medicine 1003 Main Ave, Clifton, NJ 07011-2333 2006-12-12
1992887962 Abdallah R Taha Surgery 1003 Main Ave, Clifton, NJ 07011-2333 2006-10-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285101980 Trucare Adult Medical Day Care Clinic/Center 111 Paulison Avenue, Clifton, NJ 07011 2018-10-31
1801389903 Sonja Abbassi Md Internal Medicine 1618 Main Avenue, 1618 Main Avenue, Clifton, NJ 07011 2018-06-13
1346747003 Laquanda Kiera Turner Social Worker 139 Lake Avenue, Clifton, NJ 07011 2018-04-10
1083120414 Castellaro Chiropractic Chiropractor 385 Lakeview Avenue, Clifton, NJ 07011 2017-12-21
1982124707 Rana Garris Student in an Organized Health Care Education/Training Program 327 Luddington Avenue, 1st Floor, Clifton, NJ 07011 2017-06-22
1528501335 Mental Health Association In Passaic County Clinic/Center 404 Clifton Ave., Clifton, NJ 07011 2016-11-28
1346694114 Desjet LLC Emergency Medicine 35 Ackerman Avenue, Clifton, NJ 07011 2016-04-19
1437524493 Pooja Jainish Vashi Physical Therapist 246 Clifton Ave Ste 5, Clifton, NJ 07011 2015-12-02
1093122830 Truecare Ambulance 135 Demott Ave, 135, Clifton, NJ 07011 2014-07-14
1952641391 Y.a.f.a. Group LLC Ambulance 11 Richmond St, Clifton, NJ 07011 2013-02-21
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Taxonomy Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730442658 Yasmeen Sultana Internal Medicine 11 Godwin Pl, Clifton, NJ 07013-3707 2012-06-18
1154382760 Rodolfo A Munera Internal Medicine 1001 Clifton Ave Ste 1b, Clifton, NJ 07013-3586 2006-03-31
1740264498 Sabah Varoqua Internal Medicine 975 Clifton Ave, Clifton, NJ 07013-2722 2005-12-05
1477853844 Rodolfo A Munera Internal Medicine 1001 Clifton Ave, Ste 1b, Clifton, NJ 07013-3586 2010-11-01
1578698700 Medical Specialties of New Jersey Pa Internal Medicine 842 Clifton Ave, Suite 4, Clifton, NJ 07013-1800 2007-02-21
1306815618 Frederick Okoye Jr. Internal Medicine 642 Broad St, Clifton, NJ 07013-1615 2006-03-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1588224018 Bergen Infectious Diseases Associates Inc Internal Medicine 185 Cedar Ln Ste U8, Teaneck, NJ 07666-4303 2019-06-17
1326604943 Malik Medical Associates Usa Inc Internal Medicine 377 Jersey Ave Ste No410, Jersey City, NJ 07302-4393 2019-05-20
1134626815 Hackensack Infectious Disease Associates, LLC Internal Medicine 311 S Irving St, Ridgewood, NJ 07450-5101 2018-04-10
1285146845 Dr Pooja P Shah Mdpc Inc Internal Medicine 1964 Oak Tree Rd Ste B, Edison, NJ 08820-2016 2017-11-03
1740704931 Divine Care LLC Internal Medicine 37 Van Zandt Rd, Skillman, NJ 08558-2100 2017-07-28
1073922324 Ahmed Abdul Azim Internal Medicine 125 Paterson St, Meb 362, New Brunswick, NJ 08901-1962 2014-08-11
1437566205 Uchenna Okereke Internal Medicine 93 Clerk St, Jersey City, NJ 07305-4323 2014-07-14
1487069167 Mark Dinubile Internal Medicine 505 Bartram Rd, Moorestown, NJ 08057-1833 2014-06-21
1275964371 Anand Athavale Internal Medicine 127 Old Short Hills Rd, Apt 236, West Orange, NJ 07052-1014 2013-11-28
1003158247 Joseph L Derose Internal Medicine 151 Fries Mill Rd Ste 102, Turnersville, NJ 08012-2056 2013-03-26
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City CLIFTON
Zip Code 07011

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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