Provider Demographics
NPI:1114219284
Name:KHAN, SIKANDAR ZAMAN (MD)
Entity Type:Individual
Prefix:
First Name:SIKANDAR
Middle Name:ZAMAN
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 1:100 HIGH ST # D1-582
Mailing Address - Street 2:BUFFALO GENERAL MEDICAL CENTER,
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-1126
Mailing Address - Country:US
Mailing Address - Phone:716-859-3714
Mailing Address - Fax:716-859-3764
Practice Address - Street 1:100 HIGH ST # D1-582
Practice Address - Street 2:BUFFALO GENERAL MEDICAL CENTER,
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1126
Practice Address - Country:US
Practice Address - Phone:716-859-3714
Practice Address - Fax:716-859-3764
Is Sole Proprietor?:No
Enumeration Date:2011-05-09
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2927372086S0129X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery