Active NPI
Khan Medical PC
- Internal Medicine Physician
- Syosset, NY
National Provider Identifier
1760029052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- KHAN MEDICAL PC
- Practice address
- 125 Michael Dr
Suite 105-45
Syosset, NY 11791-5311 - Phone
- (516) 855-5744
- NPI assigned
- Dec 5, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Faiz Khan, MD
- Title
- Owner
- Phone
- (516) 855-5744
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
125 Michael Dr
Suite 105-45
Syosset, NY 11791-5311
Mailing address
125 Michael Drive
Suite 105-45
Syosset, NY 11791-5311
Phone (516) 855-5744
National Provider Directory
National Provider DirectoryLocations
125 Michael Dr
Ste 44
Syosset, NY 11791
125 Michael Dr
Ste 10545
Syosset, NY 11791
Phone (516) 855-5744
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582156800000",
"number": "1760029052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 MICHAEL DRIVE",
"address_2": "SUITE 105-45",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117915311",
"telephone_number": "516-855-5744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 MICHAEL DR",
"address_2": "SUITE 105-45",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117915311",
"telephone_number": "516-855-5744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHAN MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-05",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "FAIZ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-855-5744",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syosset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.