Provider Demographics
NPI:1720044258
Name:KHAN, MUHAMMAD T (MD)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:T
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1037 MAIN ST
Mailing Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2913
Mailing Address - Country:US
Mailing Address - Phone:914-734-8800
Mailing Address - Fax:914-734-8786
Practice Address - Street 1:82 MIDDLE COUNTRY RD
Practice Address - Street 2:ELSIE OWENS HEALTH CENTER(CORAM) - HRHC, INC.
Practice Address - City:CORAM
Practice Address - State:NY
Practice Address - Zip Code:11727-4411
Practice Address - Country:US
Practice Address - Phone:631-320-2220
Practice Address - Fax:631-698-8570
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2014-01-15
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Provider Licenses
StateLicense IDTaxonomies
NY192895207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01610379Medicaid
F67411Medicare UPIN
NYA400072492Medicare PIN