Basic Information
Provider Information
NPI: 1730508821
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KHAN
FirstName: RAASHID
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 211 W 56TH ST APT 7H
Address2:  
City: NEW YORK
State: NY
PostalCode: 100194317
CountryCode: US
TelephoneNumber: 2484445230
FaxNumber:  
Practice Location
Address1: 1 BROOKDALE PLZ
Address2:  
City: BROOKLYN
State: NY
PostalCode: 11212
CountryCode: US
TelephoneNumber: 7182405000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/16/2014
LastUpdateDate: 07/31/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X299790NYY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


Home