Individual
KHYBER KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 SARATOGA RD, GLENVILLE, NY 12302-4211
(518) 243-3360
(518) 243-3375
Mailing address
115 SARATOGA RD, GLENVILLE, NY 12302-4211
(518) 243-3360
(518) 243-3375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
268119
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03536981
—
NY
Enumeration date
09/02/2010
Last updated
01/19/2015
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