Pervez Ali Khan in Lackawanna - General Practice
Pervez Ali Khan - NPI 1780857854
Pervez Ali Khan is a General Practice in Lackawanna, New York. Pervez Ali Khan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Pervez Ali Khan is 1780857854. The last update date is 2017-04-05.
Pervez Ali Khan's current location address is 2600 Southpark Avenue, Lackawanna, New York. You can contact this provider via phone number 7168222028 and fax number 7168222029. The mailing address for Pervez Ali Khan is 2600 Southpark Avenue, Lackawanna, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pervez Ali Khan |
|---|---|
| Address | 2600 Southpark Avenue, Lackawanna, New York |
| Phone Number | 7168222028 |
| Fax Number | 7168222029 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1780857854 |
|---|---|
| Provider Enumeration Date | 2008-04-09 |
| Last Updated Date | 2017-04-05 |
Provider Mailing Address Detail
| Address | 2600 Southpark Avenue |
|---|---|
| City | Lackawanna |
| State | New York (NY) |
| Post Code | 142181504 |
| Phone Number | 7168222028 |
| Fax Number | 7168222029 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 125843 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2197231 | NY | COVENTRY | |
| 4538333 | NY | AETNA | |
| RB8099 | NY | MEDICARE RAILROAD | |
| 2961200 | NY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Pervez Ali Khan?
The Pervez Ali Khan has been issued the NPI (National Provider Identifier) 1780857854 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Pervez Ali Khan's physical address?
The Pervez Ali Khan is physically located at 2600 Southpark Avenue, in the city of Lackawanna, NY, with the postal code 142181504.
What is Pervez Ali Khan's area of expertise and its corresponding taxonomy classification?
The Pervez Ali Khan's field of specialization is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1780857854 to Pervez Ali Khan?
The Centers for Medicare & Medicaid Services assigned the 1780857854 to Pervez Ali Khan on 2008-04-09.
As of what date were the details related to Pervez Ali Khan most recently updated or revised?
The information pertaining to Pervez Ali Khan, including its address, specialty, and other relevant details, was last updated or revised on 2017-04-05.
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