| Infiniteaxon Llc | |
|
745 Route 202/206 Ste 105 Bridgewater NJ 08807-1758 | |
| (302) 853-7032 | |
| (908) 548-9201 |
| Full Name | Infiniteaxon Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 745 Route 202/206 Ste 105, Bridgewater, New Jersey |
| Authorized Official Name and Position | Imran Khan (NEUROLOGIST/CEO) |
| Authorized Official Contact | 3028537032 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infiniteaxon Llc 745 Route 202/206 Ste 105 Bridgewater NJ 08807-1758 Ph: (302) 853-7032 | Infiniteaxon Llc 745 Route 202/206 Ste 105 Bridgewater NJ 08807-1758 Ph: (302) 853-7032 |
| NPI Number | 1528893229 |
|---|---|
| Provider Enumeration Date | 09/04/2024 |
| Last Update Date | 05/16/2025 |
| Certification Date | 05/16/2025 |
| Medicare PECOS PAC ID | 4587194063 |
|---|---|
| Medicare Enrollment ID | O20250213000604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528893229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Imran Khan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669728556 PECOS PAC ID: 8426353699 Enrollment ID: I20220106002379 |
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