Basic Information
| Provider Information | |||||||||
| NPI: | 1437562790 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | KHAN | ||||||||
| FirstName: | MUZAMMIL | ||||||||
| MiddleName: | U | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 CATHERINE STREET P.O. BOX 550 | ||||||||
| Address2: | PARK SLOPE ANESTHESIA ASSOCIATES PC | ||||||||
| City: | POUGHKEEPSIE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 12602 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8668688416 | ||||||||
| FaxNumber: | 8457902678 | ||||||||
| Practice Location | |||||||||
| Address1: | 506 6TH STREET | ||||||||
| Address2: | NY METHODIST HOSPITAL | ||||||||
| City: | BROOKLYN | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11215 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7187803000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/04/2014 | ||||||||
| LastUpdateDate: | 10/23/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207L00000X | 288467 | NY | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.