Individual
DR. ALI SHAH KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
HSC LEVEL 4 ROOM 080 STONY BROOK HOSPITAL, STONY BROOK, NY 11794-0001
(631) 444-3880
(631) 444-3919
Mailing address
HSC LEVEL 4 ROOM 080 STONY BROOK HOSPITAL, STONY BROOK, NY 11794-0001
(631) 444-3880
(631) 444-3919
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
304949
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
03/28/2017
Last updated
05/21/2020
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