Khan, Muhammad Mustafa
Khan, Muhammad Mustafa is an individual health care provider with primary practice located at 285 Middle Country Rd Suite- Ll6, Smithtown NY 11787-2978. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Khan, Muhammad Mustafa can be contacted via phone (631) 656-6853.Contact Information
Primary practice address
285 Middle Country Rd Suite- Ll6
Smithtown NY 11787-2978
Phone: (631) 656-6853
Fax: (631) 656-6855
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 231492 | New York |
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 231492 | New York |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 231492 | New York |
Profile Details
NPI number | 1104893619 |
---|---|
LBN Legal business name | Khan, Muhammad Mustafa |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 2nd, 2006 |
Last updated | May 7th, 2012 - about 13 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 | 1104893619 | NPPES |
Massachusetts | MEDICAID | 2105284 |
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