Individual
DR. MANSOOR A KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9217 101ST AVE, OZONE PARK, NY 11416-2316
(412) 452-4262
Mailing address
9217 101ST AVE, OZONE PARK, NY 11416-2316
(412) 452-4262
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
265529
NY
2084P0800X
Psychiatry Physician
265529
NY
208D00000X
General Practice Physician
265529
NY
Other
Enumeration date
07/22/2008
Last updated
04/13/2013
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