Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 251646 | NY |
N | 111NI0900X | Internist | 251646 | NY |
N | 207RH0002X | Hospice and Palliative Medicine | 251646 | NY |
NPI | 1013146216 |
---|---|
Provider Name | Dr. Abdulquader Khan |
First Address | Brooklyn, NY 11230-2410 |
Second Address | Brooklyn, NY 11230-2410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2009 |
Last Update Date | 12/02/2016 |