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NPI Code Detail

MEDICARE: DR. JEHANZEB KHAN M.D.

MEDICARE: DR. JEHANZEB 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
1390200000XStudent in an Organized Health Care Education/Training Program
2207RP1001XPulmonary Disease Physician280023NY
3207RC0200XCritical Care Medicine (Internal Medicine) Physician280023NY
4207R00000XInternal Medicine Physician280023NY

Other Identifiers

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

General Provider Information

NPI Number : 1770853426
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEHANZEB KHAN M.D.
Provider Business Mailing Address
First Line : 124 ROSA ROAD
Second Line : SUITE 382
City : SCHENECTADY
State : NY
Zip : 12308
Country : US
Telephone Number : 518-386-3691
Fax Number : 518-386-3553
Provider Business Practice Location Address
First Line : 1101 NOTT ST STE C1
Second Line :
City : SCHENECTADY
State : NY
Zip : 12308-2489
Country : US
Telephone Number : 518-289-2400
Fax Number : 518-243-1350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2012
Last Update Date : 09/18/2025

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