Khan Medical Care Pllc | |
300 Community Dr Manhasset NY 11030-3816 | |
(917) 579-9019 | |
Not Available |
Full Name | Khan Medical Care Pllc |
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Speciality | Family Medicine |
Location | 300 Community Dr, Manhasset, New York |
Authorized Official Name and Position | Mehtab Abbasi (CREDENTIALING EXECUTIVE) |
Authorized Official Contact | 9173368422 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Khan Medical Care Pllc 189 Peters Ave East Meadow NY 11554-1527 Ph: (917) 579-9019 | Khan Medical Care Pllc 300 Community Dr Manhasset NY 11030-3816 Ph: (917) 579-9019 |
NPI Number | 1366199986 |
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Provider Enumeration Date | 03/03/2022 |
Last Update Date | 03/03/2022 |
Medicare PECOS PAC ID | 1850788530 |
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Medicare Enrollment ID | O20220427002270 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366199986 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Usman Khan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578959300 PECOS PAC ID: 9032468913 Enrollment ID: I20180827001377 |
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