Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 260304 | NY |
N | 111NI0900X | Internist | 260304 | NY |
Y | 207RC0000X | Internist - Cardiovascular Disease | 260304 | NY |
N | 207RI0011X | Interventional Cardiology | 260304 | NY |
NPI | 1083877666 |
---|---|
Provider Name | Abdullah Khan |
First Address | Brooklyn, NY 11212-3139 |
Second Address | Brooklyn, NY 11212-3139 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2008 |
Last Update Date | 15/05/2020 |