Individual
SERAZUL A KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 HARRISON ST, SUITE 100, JOHNSON CITY, NY 13790-2161
(607) 763-6850
(607) 798-5194
Mailing address
169 RIVERSIDE DR, BINGHAMTON, NY 13905-4246
(607) 763-6850
(607) 798-5194
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
1925931
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01445303
—
NY
Enumeration date
10/20/2005
Last updated
01/20/2014
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