Individual
DR. ASIF KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-1681
Mailing address
43 WILLOW WOOD LN APT 2, STATEN ISLAND, NY 10308-1868
(347) 557-5624
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
305539-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
305539-01
NY
Other
Enumeration date
04/11/2017
Last updated
07/16/2025
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