MEDICARE: DR. MUHAMMAD T KHAN M.D.

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	207R00000X	Internal Medicine Physician	192895	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720044258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MUHAMMAD T KHAN M.D.

Provider Business Mailing Address
First Line	:	1037 MAIN ST
Second Line	:	HUDSON RIVER HEALTHCARE, INC.
City	:	PEEKSKILL
State	:	NY
Zip	:	10566-2913
Country	:	US
Telephone Number	:	914-734-8800
Fax Number	:	914-734-8786

Provider Business Practice Location Address
First Line	:	82 MIDDLE COUNTRY RD
Second Line	:	ELSIE OWENS HEALTH CENTER(CORAM) - HRHC, INC.
City	:	CORAM
State	:	NY
Zip	:	11727-4411
Country	:	US
Telephone Number	:	631-320-2220
Fax Number	:	631-698-8570

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

Provider Enumeration Date	:	04/24/2006
Last Update Date	:	01/15/2014

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