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Individual

DR. IHSAN U KHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
161 RIVERSIDE DRIVE, SUITE 305, BINGHAMTON, NY 13905
(607) 798-5442
(607) 798-5876
Mailing address
161 RIVERSIDE DRIVE, SUITE 305, BINGHAMTON, NY 13905
(607) 798-5442
(607) 798-5876

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
254985
NY
207R00000X
Internal Medicine Physician
254985-1
NY
207RP1001X
Pulmonary Disease Physician
Primary
254985
NY
208D00000X
General Practice Physician
254985
NY
208M00000X
Hospitalist Physician
254985-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03361644
NY
Enumeration date
07/15/2010
Last updated
03/18/2021
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