Provider Demographics
NPI:1467429886
Name:KHAN, SAEED-UZ ZAFAR (MD)
Entity Type:Individual
Prefix:
First Name:SAEED-UZ
Middle Name:ZAFAR
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 1:40 N CHEMUNG ST
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:NY
Mailing Address - Zip Code:14892-1212
Mailing Address - Country:US
Mailing Address - Phone:607-738-7975
Mailing Address - Fax:
Practice Address - Street 1:40 N CHEMUNG ST
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:NY
Practice Address - Zip Code:14892-1212
Practice Address - Country:US
Practice Address - Phone:607-738-7975
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206461-12084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYIA0864Medicare ID - Type Unspecified
NYG57200Medicare UPIN