Provider Demographics
NPI:1508614843
Name:NASSER KHAN, RIYAZ KHAN (MBBS)
Entity Type:Individual
Prefix:
First Name:RIYAZ KHAN
Middle Name:
Last Name:NASSER KHAN
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:INTERNAL MEDICINE DEPARTMENT, NUMC
Mailing Address - Street 2:2201 HEMPSTEAD TURNPIKE, EAST MEADOW
Mailing Address - City:NASSAU COUNTY
Mailing Address - State:NY
Mailing Address - Zip Code:11554
Mailing Address - Country:US
Mailing Address - Phone:516-572-6501
Mailing Address - Fax:
Practice Address - Street 1:INTERNAL MEDICINE DEPARTMENT, NUMC
Practice Address - Street 2:2201 HEMPSTEAD TURNPIKE, EAST MEADOW
Practice Address - City:NASSAU COUNTY
Practice Address - State:NY
Practice Address - Zip Code:11554
Practice Address - Country:US
Practice Address - Phone:516-572-6501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program