Individual
SHAHBAZ ALI KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-4037
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-4124
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
298212
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
298212
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
31464
OK
Other
Enumeration date
07/27/2015
Last updated
10/30/2021
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