1952467334 NPI number — WALI KHAN DDS

Table of content: WALI KHAN DDS (NPI 1952467334)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952467334 NPI number — WALI KHAN DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KHAN
Provider First Name:
WALI
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952467334
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/19/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3733 77TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JACKSON HEIGHTS
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11372-6629
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-478-6100
Provider Business Mailing Address Fax Number:
718-476-9454

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1221 WHITE PLAINS RD
Provider Second Line Business Practice Location Address:
SUITE 106
Provider Business Practice Location Address City Name:
BRONX
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10472-4937
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-792-6991
Provider Business Practice Location Address Fax Number:
718-792-0654
Provider Enumeration Date:
12/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  045003 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01471549 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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