| Khyber Khan, MD | |
|
115 Saratoga Rd, Glenville, NY 12302-4211 | |
| (518) 243-3360 | |
| (518) 243-3375 |
| Full Name | Khyber Khan |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 115 Saratoga Rd, Glenville, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902113699 | NPI | - | NPPES |
| 03536981 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 268119 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Living Resources Chha | Albany, NY | Home health agency |
| Eddy Visiting Nurse & Rehab Association | Troy, NY | Home health agency |
| Community Hospice, Inc, The | Rensselaer, NY | Hospice |
| Ellis Hospital | Schenectady, NY | Hospital |
| Sunnyview Hospital And Rehabilitation Center | Schenectady, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ellis Hospital | 5890607410 | 214 |
| Entity Name | Ellis Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487644993 PECOS PAC ID: 5890607410 Enrollment ID: O20031103000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Khyber Khan, MD 115 Saratoga Rd, Glenville, NY 12302-4211 Ph: (518) 243-3360 | Khyber Khan, MD 115 Saratoga Rd, Glenville, NY 12302-4211 Ph: (518) 243-3360 |
Dr. Lauris J Petersen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 Glenridge Rd, Glenville, NY 12302 Phone: 518-399-0909 Fax: 518-399-2640 |