Individual
WAQAS KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1614 25TH ST, BEDFORD, IN 47421-5000
(812) 277-0118
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6177
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01095506A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1105177877
ANTHEM
IN
05
—
300113388
—
IN
Enumeration date
05/10/2022
Last updated
11/19/2025
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