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Individual

TARIQ MAHMOOD KHAN

Active
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Individual

TARIQ MAHMOOD KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
207469-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00021051301
UNIVERA/EXCELLUS
NY
01
000524287002
BLUECROSS BLUESHIELD WNY
NY
05
01664951
NY
05
02366347
NY
01
040426036267
FIDELISCARE NEW YORK ID
NY
01
1290375
INDEPENDENT HEALTH ID
NY
01
161570481
FEDERAL TAX ID (COMM INS)
NY
01
72679
THE CHAUTAUQUA PLAN IDS
NY
Enumeration date
06/08/2005
Last updated
01/15/2021
About Stedi
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