Yaqoob Nawaz Khan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

051759 Issued in NY

Practice address

50 Auert Ave
Utica, NY 13502-2326

Phone

(316) 266-0000

Fax

(315) 266-0126

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1013968924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 AUERT AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135022326",
            "telephone_number": "316-266-0000",
            "fax_number": "315-266-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 AUERT AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135022326",
            "telephone_number": "316-266-0000",
            "fax_number": "315-266-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "YAQOOB",
        "middle_name": "NAWAZ",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051759",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "051759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02592914",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9177697",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel L Kerney, M.D.,
• Shanze Khalid, MBBS
• Afsar Ali Khan, MD
• Kamrul A. Khan, M.D.
• Muzaffar N Khan, MD
• Hninn Khine
• Farjallah Nassim Khoury I, M.D.
• Kidney and Hypertension Consultant, PLLC
• Kids Oneida, Inc.
• Casey Lynn Kilborne, FNP-C

• Dentist in Utica, NY
• Providers in Utica, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.