Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 036-122000 | IL |
Y | 207RH0003X | Hematology & Oncology | 238121 | NY |
N | 207RH0003X | Hematology & Oncology | MA082147 | NJ |
NPI | 1043484736 |
---|---|
Provider Name | Dr. Ajaz Mohiuddin Khan |
First Address | Albany, NY 12212-4890 |
Second Address | Albany, NY 12208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2008 |
Last Update Date | 12/05/2021 |