Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Khaled Mohammad Khaled Bani Yaseen, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023856507

Khaled Mohammad Khaled Bani Yaseen, MD is a Student in an Organized Health Care Education/Training Program in Newark, New Jersey. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 Central Ave
Newark, NJ 07102-1909
Phone: (551) 250-3743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1023856507
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2024
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024

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