Individual
DR. AZEEM KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10840 QUEENS BLVD, FOREST HILLS, NY 11375-5361
(718) 459-8460
Mailing address
PO BOX 1057, PORT WASHINGTON, NY 11050-1057
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
213384
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02209947
—
NY
Enumeration date
07/26/2006
Last updated
05/01/2013
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