Mulazim H Khan, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

113496 Issued in NY

Practice address

3 Bridge St Ste 4
Carthage, NY 13619-1333

Phone

(315) 493-0110

Fax

(315) 493-1136

NPI assigned

Oct 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mulazim H Khan General Surgery PC

  • Surgery Physician
  • Carthage, NY
  • NPI 1639365000
  NPD (past) Authorized official
• Mulazim H.Khan General Surgery P.C.

  • Surgery Physician
  • Carthage, NY
  • NPI 1477605715
  NPD (past) Authorized official

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1497943435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BRIDGE ST STE 4",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136191333",
            "telephone_number": "315-493-0110",
            "fax_number": "315-493-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BRIDGE ST STE 4",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136191333",
            "telephone_number": "315-493-0110",
            "fax_number": "315-493-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "MULAZIM",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-03",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "113496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00469347",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donell Jean Keddy, D.C
• Ryan Andrew Keddy, D.C.
• Sue Ellen Kelley, LMHC, CASAC
• Kenneth C Price LCSW PLLC
• Rachael Katherine Kent, PA-C
• Lydia L Kirschman, FNP
• Wojciech Jan Konopka, LMSW
• KPH Healthcare Services, Inc.
• Laclair Family Dental, PLLC
• Mackenzie Lamon, PA-C

• Surgery Physician in Carthage, NY
• Providers in Carthage, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.