Individual
ALI AMIR KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-5774
(315) 464-1937
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-5774
(315) 464-1937
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
267779
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03536743
—
NY
Enumeration date
06/22/2010
Last updated
08/23/2013
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