Individual
MUSLIM KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4900 BROAD RD, 5TH FLOOR, SYRACUSE, NY 13215-2265
(315) 492-5635
Mailing address
8401 BRAE LEURE RD, MANLIUS, NY 13104-9766
(315) 692-4111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
216126
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01898466
—
NY
Enumeration date
07/13/2006
Last updated
09/27/2011
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