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Individual

MUHAMMAD MUSTAFA KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
285 MIDDLE COUNTRY RD, SUITE- LL6, SMITHTOWN, NY 11787-2978
(631) 656-6853
(631) 656-6855
Mailing address
285 MIDDLE COUNTRY RD, SUITE- LL6, SMITHTOWN, NY 11787-2978
(631) 656-6853
(631) 656-6855

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
231492
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
231492
NY
208VP0014X
Interventional Pain Medicine Physician
231492
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2105284
MA
Enumeration date
03/02/2006
Last updated
05/07/2012
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