| Khan Medical Care Pllc | |
|
300 Community Dr Manhasset NY 11030-3816 | |
| (917) 579-9019 | |
| Not Available |
| Full Name | Khan Medical Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 300 Community Dr, Manhasset, New York |
| Authorized Official Name and Position | Mehtab Abbasi (CREDENTIALING EXECUTIVE) |
| Authorized Official Contact | 9173368422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Khan Medical Care Pllc 189 Peters Ave East Meadow NY 11554-1527 Ph: (917) 579-9019 | Khan Medical Care Pllc 300 Community Dr Manhasset NY 11030-3816 Ph: (917) 579-9019 |
| NPI Number | 1366199986 |
|---|---|
| Provider Enumeration Date | 03/03/2022 |
| Last Update Date | 03/03/2022 |
| Medicare PECOS PAC ID | 1850788530 |
|---|---|
| Medicare Enrollment ID | O20220427002270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366199986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Usman Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578959300 PECOS PAC ID: 9032468913 Enrollment ID: I20180827001377 |
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