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

Mir Faizan Ali Khan

Individual provider Family Medicine Physician · NPI 1184327769

Mir Faizan Ali Khan is a Family Practice in Salem, New Jersey. Qualified in 2018, 8 years ago. Licensed in New Jersey.

Years since qualifying
8
Licensed in
NJ
In the registry since
2023
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Practice location Address checks out

4 Bypass Rd Ste 104
Salem, NJ 08079-2053
Phone: (856) 887-3005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MA12975800 (NJ)

Record details

NPI number1184327769
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2023
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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