Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 255520 | NY |
Y | 207RP1001X | Pulmonary Disease | 255520 | NY |
N | 207RS0012X | Sleep Medicine | 255520 | NY |
NPI | 1033183231 |
---|---|
Provider Name | Dr. Mohammad A Khan |
First Address | Niagara Falls, NY 14304-2877 |
Second Address | Niagara Falls, NY 14304-2877 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 05/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H45242 | (02) | NY |