Ferdaus Akhtar Khan, MD
Individual provider Active NPI Internal Medicine Physician · New York, NY
NPI 1700838752 · NPPES record last updated May 2, 2012
Key facts
- NPI
- 1700838752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 238768-1 (NY)
- Practice address
- 2195 3Rd Ave
New York, NY 10035-3529 - Phone
- (212) 348-9095
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238768-1 | NY | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 238768-1 | NY | Yes |
Addresses
Primary practice location
2195 3Rd Ave
New York, NY 10035-3529
Mailing address
22 Chapel St
Brooklyn, NY 11201-1903
Phone (718) 260-2962
Other providers in New York, NY
- Faraz Khan
- Farhan Khan
- Farzana Khan
- Fateha Khan
- Fatima Khan
- Feroze Khan
- Gerald Anthony Khan
- Hammad Aslam Khan
- Hasan Mansoor Mohammed Khan
- Hiba Zarin Khan
All providers in New York, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.