Provider Demographics
NPI:1740243476
Name:KHAWAR, MUHAMMAD KHALID (MD FRCP(C))
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:KHALID
Last Name:KHAWAR
Suffix:
Gender:M
Credentials:MD FRCP(C)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 456
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14072-0456
Mailing Address - Country:US
Mailing Address - Phone:716-285-5776
Mailing Address - Fax:716-285-5783
Practice Address - Street 1:817 MAIN ST
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14301-1127
Practice Address - Country:US
Practice Address - Phone:716-285-5776
Practice Address - Fax:716-285-5783
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY200274-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01821365Medicaid
NYG27573Medicare UPIN
BB0374Medicare ID - Type Unspecified