Individual
GULAM M KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-4408
(718) 616-4105
Mailing address
617 51ST ST, 3RD FLOOR, BROOKLYN, NY 11220-2123
(718) 437-5046
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
228737
NY
207R00000X
Internal Medicine Physician
Primary
228737
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02426433
—
NY
Enumeration date
01/25/2007
Last updated
03/21/2013
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