KHALED MOHAMMAD KHALED BANI YASEEN MD
NPI 1023856507
Student in an Organized Health Care Education/Training Program in Newark, NJ

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since July 18, 2024

111 CENTRAL AVE, NEWARK, NJ 07102(551) 250-3743 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Khaled Mohammad Khaled Bani Yaseen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHALED MOHAMMAD KHALED BANI YASEEN MD (NPI 1023856507) is an individual student in an organized health care education/training program in Newark, New Jersey and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1023856507

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKHALED MOHAMMAD KHALED BANI YASEENCredential: MD

Location Address111 CENTRAL AVENewark, NJ 07102-1909

Mailing Address205 Mount Vernon AveOrange, NJ 07050-1711 · (551) 250-3743

Phone(551) 250-3743

Sole ProprietorNo

Enumeration DateJuly 18, 2024

NPPES CertifiedJuly 18, 2024

✔ NPI 1023856507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

111 CENTRAL AVE, Newark, NJ 07102

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