Active NPI
Misbah Huzaira Khan, MD
- Procedural Dermatology Physician
- New York, NY
National Provider Identifier
1659506731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- 251469
- Practice address
- 345 E 37TH St RM 317
New York, NY 10016-3256 - Phone
- (917) 853-3376
- NPI assigned
- May 19, 2009
- Last updated
- Aug 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 251469 | NY | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 251469 | NY | |
| Procedural Dermatology Physician | 207NS0135X | 251469 | NY | Primary |
Addresses
Primary practice location
345 E 37TH St RM 317
New York, NY 10016-3256
Mailing address
345 E 37TH St RM 317
New York, NY 10016-3256
Phone (917) 853-3376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251469 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sadick Aesthetic Surgery and Dermatology | Dermatology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- New York, NY
- NPI 1699920116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1659506731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 E 37TH ST RM 317",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163256",
"telephone_number": "917-853-3376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 E 37TH ST RM 317",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100163256",
"telephone_number": "917-853-3376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "MISBAH",
"middle_name": "HUZAIRA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-19",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "251469",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NY",
"license": "251469",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "NY",
"license": "251469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.