Individual
TAHIR ABDULLAH KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
95 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-7001
(845) 703-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
249461
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03067012
—
NY
Enumeration date
07/18/2008
Last updated
07/27/2011
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