Khan, Serazul A

Khan, Serazul A is an individual health care provider with primary practice located at 30 Harrison St Suite 100, Johnson City NY 13790-2161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Khan, Serazul A can be contacted via phone (607) 763-6850.

Contact Information

Primary practice address
30 Harrison St Suite 100 Johnson City NY 13790-2161
Phone: (607) 763-6850
Fax: (607) 798-5194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 1925931 New York

Profile Details

NPI number 1073502019
LBN Legal business name Khan, Serazul A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jan 20th, 2014 - about 11 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 1073502019 NPPES
New York MEDICAID 01445303

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