Individual
FEROZE B KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 RALPH PL, SUITE#210, STATEN ISLAND, NY 10304-4419
(718) 816-1482
(718) 815-0386
Mailing address
11 RALPH PL, SUITE#210, STATEN ISLAND, NY 10304-4419
(718) 816-1482
(718) 815-0386
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
128610
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00724949
—
NY
01
—
020010615
RR MEDICARE
NY
Enumeration date
01/30/2006
Last updated
07/18/2012
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