Provider Demographics
NPI:1447665658
Name:KHAN, AHSAN SAEED (DO)
Entity type:Individual
Prefix:DR
First Name:AHSAN
Middle Name:SAEED
Last Name:KHAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:464 HUDSON TER
Mailing Address - Street 2:STE 201A
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-2917
Mailing Address - Country:US
Mailing Address - Phone:212-305-5996
Mailing Address - Fax:212-305-7237
Practice Address - Street 1:622 W 168TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3720
Practice Address - Country:US
Practice Address - Phone:212-305-5996
Practice Address - Fax:212-305-7237
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-25
Last Update Date:2022-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY302238207RC0000X, 207UN0901X
VA0102207276207RC0000X
NJ25MB11171700207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology