Individual
DR. MULAZIM H KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 BRIDGE ST STE 4, CARTHAGE, NY 13619-1333
(315) 493-0110
(315) 493-1136
Mailing address
3 BRIDGE ST STE 4, CARTHAGE, NY 13619-1333
(315) 493-0110
(315) 493-1136
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
113496
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00469347
—
NY
Enumeration date
10/03/2007
Last updated
10/03/2007
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