Healthcare Provider Details

I. General information

NPI: 1578210324
Provider Name (Legal Business Name): ADNAN KHAN MBBS, MD, MRCS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2022
Last Update Date: 01/13/2023
Certification Date: 01/13/2023
Deactivation Date: 12/22/2022
Reactivation Date: 01/13/2023

III. Provider practice location address

525 E 68TH STREET SUITE 651
NEW YORK NY
10065
US

IV. Provider business mailing address

525 E 68TH ST SUITE 651, BOX 99
NEW YORK NY
10065
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-2363
  • Fax: 212-746-7729
Mailing address:
  • Phone: 212-746-2363
  • Fax: 212-746-7729

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: