Provider Demographics
NPI:1578210324
Name:KHAN, ADNAN (MBBS, MD, MRCS)
Entity Type:Individual
Prefix:DR
First Name:ADNAN
Middle Name:
Last Name:KHAN
Suffix:
Gender:M
Credentials:MBBS, MD, MRCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 E 68TH ST
Mailing Address - Street 2:SUITE 651, BOX 99
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065
Mailing Address - Country:US
Mailing Address - Phone:212-746-2363
Mailing Address - Fax:212-746-7729
Practice Address - Street 1:525 E 68TH STREET
Practice Address - Street 2:SUITE 651
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:212-746-2363
Practice Address - Fax:212-746-7729
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-02
Last Update Date:2023-01-13
Deactivation Date:2022-12-22
Deactivation Code:
Reactivation Date:2023-01-13
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program