Khan, Fazel A

Khan, Fazel A is an individual health care provider with primary practice located at 14 Technology Dr Suite 11, East Setauket NY 11733-3472. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Khan, Fazel A can be contacted via phone (631) 444-4233.

Contact Information

Primary practice address
14 Technology Dr Suite 11 East Setauket NY 11733-3472
Phone: (631) 444-4233
Fax: (631) 444-3403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 252511-1 New York

Profile Details

NPI number 1497732820
LBN Legal business name Khan, Fazel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Sep 19th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497732820 NPPES
Minnesota MEDICAID 357146700

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