Provider Demographics
NPI:1194037457
Name:KHAN, JAMEELA YASMEEN (RPA-C)
Entity Type:Individual
Prefix:MRS
First Name:JAMEELA
Middle Name:YASMEEN
Last Name:KHAN
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4979 HARLEM RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-2547
Mailing Address - Country:US
Mailing Address - Phone:716-923-4380
Mailing Address - Fax:716-923-4384
Practice Address - Street 1:4979 HARLEM RD
Practice Address - Street 2:SUITE 1
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-2547
Practice Address - Country:US
Practice Address - Phone:716-923-4380
Practice Address - Fax:716-923-4384
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-02
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1065858OtherWELLCARE
NY9516212OtherINDEPENDENT HEALTH ASSOCIATION
NY9644869OtherAETNA
NY100000820625OtherMVP
NY03272539Medicaid
NY2424085OtherCOVENTRY
NY4934736OtherCIGNA
NY3262807OtherUNITED HEALTH CARE
NY1065858OtherWELLCARE