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:
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Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104893619 NPPES
Massachusetts MEDICAID 2105284

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