| Shaheed Khan, MD | |
|
134-21 Springfield Blvd, Springfield Gardens, NY 11413 | |
| (718) 528-6377 | |
| (718) 949-4580 |
| Full Name | Shaheed Khan |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 134-21 Springfield Blvd, Springfield Gardens, 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 |
|---|---|---|---|
| 1427066414 | NPI | - | NPPES |
| 01022095 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 170541 (New York) | Primary |
| Entity Name | Shaheed Khan M.d.,p.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811140932 PECOS PAC ID: 2567518368 Enrollment ID: O20090921000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Shaheed Khan, MD 134-21 Springfield Blvd, Springfield Gardens, NY 11413 Ph: (718) 528-6377 | Shaheed Khan, MD 134-21 Springfield Blvd, Springfield Gardens, NY 11413 Ph: (718) 528-6377 |
Michelle Morris, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 13421 Springfield Blvd, Springfield Gardens, NY 11413 Phone: 718-528-6377 Fax: 718-949-4580 | |
Dr. Ashraf M Diab, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 14729 182nd St, Box 1582, Springfield Gardens, NY 11413 Phone: 551-208-2996 |