Khan, Serazul A
Khan, Serazul A is an individual health care provider with primary practice located at 30 Harrison St Suite 100, Johnson City NY 13790-2161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Khan, Serazul A can be contacted via phone (607) 763-6850.Contact Information
Primary practice address
30 Harrison St Suite 100
Johnson City NY 13790-2161
Phone: (607) 763-6850
Fax: (607) 798-5194
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 1925931 | New York |
Profile Details
| NPI number | 1073502019 |
|---|---|
| LBN Legal business name | Khan, Serazul A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Jan 20th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073502019 | NPPES |
| New York | MEDICAID | 01445303 |
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