Khan, Rizwan

Khan, Rizwan is an individual health care provider with primary practice located at 840 Hanshaw Rd , Ithaca NY 14850. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Khan, Rizwan can be contacted via phone (607) 257-6563.

Contact Information

Primary practice address
840 Hanshaw Rd Ithaca NY 14850
Phone: (607) 257-6563
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 2000-219 New Mexico
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2000-219 New Mexico

Profile Details

NPI number 1700864881
LBN Legal business name Khan, Rizwan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Sep 19th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700864881 NPPES
New Mexico MEDICAID 000G9234

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