Dr Dastagir Alam Khan, MD | |
27 Dyke Rd, Latham, NY 12110-1237 | |
(904) 955-7190 | |
Not Available |
Full Name | Dr Dastagir Alam Khan |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 27 Dyke Rd, Latham, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205818911 | NPI | - | NPPES |
04290768 | Medicaid | NY | |
270290800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 281049 (New York) | Secondary |
207R00000X | Internal Medicine | 281049 (New York) | Primary |
Entity Name | Hni Medical Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366735169 PECOS PAC ID: 6406028810 Enrollment ID: O20111007000131 |
Mailing Address | Practice Location Address |
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Dr Dastagir Alam Khan, MD 27 Dyke Rd, Latham, NY 12110-1237 Ph: (904) 955-7190 | Dr Dastagir Alam Khan, MD 27 Dyke Rd, Latham, NY 12110-1237 Ph: (904) 955-7190 |
Dr. Natalia E Veselova, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 713 Troy Schenectady Rd Ste 131, Latham, NY 12110 Phone: 518-713-4434 Fax: 518-713-4432 | |
Nita Parikh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6 Wellness Way Ste 109, Latham, NY 12110 Phone: 518-785-5881 Fax: 518-783-8510 | |
Hendrick Arnold, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Crhp-711 Troy-schenectady Rd, Suite 104, Latham, NY 12110 Phone: 518-783-3110 | |
Dr. Rorick T Rimash, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 582 New Loudon Rd, Latham, NY 12110 Phone: 518-783-0072 Fax: 518-783-8138 | |
Vasantha Natarajan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110 Phone: 518-348-3176 | |
Stephen Sorrentino, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Crhp-711 Troy-schenectady Rd, Suite 104, Latham, NY 12110 Phone: 518-783-3110 | |
Jose F Nebres, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 15 Fox Run, Latham, NY 12110 Phone: 518-281-3004 Fax: 518-272-3075 |