Provider Demographics
NPI:1073584090
Name:KHAN, ZAFAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ZAFAR
Middle Name:
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 E 18TH ST
Mailing Address - Street 2:1BC
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2416
Mailing Address - Country:US
Mailing Address - Phone:212-420-1566
Mailing Address - Fax:212-420-8869
Practice Address - Street 1:130 E 18TH ST
Practice Address - Street 2:1BC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2416
Practice Address - Country:US
Practice Address - Phone:212-420-1566
Practice Address - Fax:212-420-8869
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-28
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY126535208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY347831Medicare PIN
NYC08946Medicare UPIN