| Dr Dastagir Alam Khan, MD | |
|
27 Dyke Rd, Latham, NY 12110-1237 | |
| (904) 955-7190 | |
| Not Available |
| Full Name | Dr Dastagir Alam Khan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 27 Dyke Rd, Latham, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205818911 | NPI | - | NPPES |
| 04290768 | Medicaid | NY | |
| 270290800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 281049 (New York) | Secondary |
| 207R00000X | Internal Medicine | 281049 (New York) | Primary |
| Entity Name | Cogent Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912941238 PECOS PAC ID: 7315836780 Enrollment ID: O20040312001215 |
| Entity Name | Port City Emergency Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134370547 PECOS PAC ID: 0345301917 Enrollment ID: O20081202000420 |
| Entity Name | New York General Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700315538 PECOS PAC ID: 7810255494 Enrollment ID: O20180103003151 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210831002021 |
| Entity Name | Mikram Jafri Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831800747 PECOS PAC ID: 1052783396 Enrollment ID: O20230214001494 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dastagir Alam Khan, MD 27 Dyke Rd, Latham, NY 12110-1237 Ph: (904) 955-7190 | Dr Dastagir Alam Khan, MD 27 Dyke Rd, Latham, NY 12110-1237 Ph: (904) 955-7190 |
Dr. Natalia E Veselova, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 713 Troy Schenectady Rd Ste 131, Latham, NY 12110 Phone: 518-713-4434 Fax: 518-713-4432 | |
Nita Parikh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6 Wellness Way Ste 109, Latham, NY 12110 Phone: 518-785-5881 Fax: 518-783-8510 | |
Hendrick Arnold, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Crhp-711 Troy-schenectady Rd, Suite 104, Latham, NY 12110 Phone: 518-783-3110 | |
Dr. Rorick T Rimash, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 582 New Loudon Rd, Latham, NY 12110 Phone: 518-783-0072 Fax: 518-783-8138 | |
Vasantha Natarajan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1205 Troy Schenectady Rd Ste 101, Latham, NY 12110 Phone: 518-348-3176 | |
Stephen Sorrentino, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Crhp-711 Troy-schenectady Rd, Suite 104, Latham, NY 12110 Phone: 518-783-3110 | |
Jose F Nebres, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 15 Fox Run, Latham, NY 12110 Phone: 518-281-3004 Fax: 518-272-3075 |