Individual
DR. FAZEL A KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 TECHNOLOGY DR, SUITE 11, EAST SETAUKET, NY 11733-3472
(631) 444-4233
(631) 444-3403
Mailing address
14 TECHNOLOGY DR, SUITE 11, EAST SETAUKET, NY 11733-3472
(631) 444-4233
(631) 444-3403
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
252511-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
357146700
—
MN
Enumeration date
12/28/2005
Last updated
09/19/2014
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