MEDICARE: ZARLAKHTA KHAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	329726	NY

General Provider Information

NPI Number	:	1316528177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZARLAKHTA KHAN

Provider Business Mailing Address
First Line	:	1000 MONTAUK HWY
Second Line	:
City	:	WEST ISLIP
State	:	NY
Zip	:	11795-4927
Country	:	US
Telephone Number	:
Fax Number	:	631-376-3420

Provider Business Practice Location Address
First Line	:	11020 JAMAICA AVE
Second Line	:
City	:	RICHMOND HILL
State	:	NY
Zip	:	11418-2324
Country	:	US
Telephone Number	:	718-850-4644
Fax Number	:	845-765-9347

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2021
Last Update Date	:	11/08/2024

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Directions to “ ZARLAKHTA KHAN ” Practice Location

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