Khan, Yaqoob Nawaz

Khan, Yaqoob Nawaz is an individual health care provider with primary practice located at 50 Auert Ave , Utica NY 13502-2326. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Khan, Yaqoob Nawaz can be contacted via phone (316) 266-0000.

Contact Information

Primary practice address
50 Auert Ave Utica NY 13502-2326
Phone: (316) 266-0000
Fax: (315) 266-0126
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 051759 New York
Dental Providers / Dentist 122300000X 051759 New York

Profile Details

NPI number 1013968924
LBN Legal business name Khan, Yaqoob Nawaz
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jun 5th, 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 1013968924 NPPES
New York MEDICAID 02592914
New York Other 9177697

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