National Provider Identifier
Tariq Mahmood Khan, M.D.
Tariq Mahmood Khan, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Jamestown, NY and a listed phone number of (716) 661-9730.
Profile Overview
- NPI
- 1922002906
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- June 08, 2005
- Last Updated
- January 15, 2021
Practice Location
- 1684 Foote Avenue Ext
- Jamestown, NY 14701-9385
Phone: (716) 661-9730
Specialties
- Pediatrics Physician (208000000X)
Endpoints
- stp@348.direct.myezyaccess.com
Direct Messaging Address | Jamestown, NY 14701
Full Record
- NPI
- 1922002906
- Entity Type
- Individual
- Last Name
- Khan
- First Name
- Tariq
- Middle Name
- Mahmood
- Credential
- M.D.
- Mailing Street Address
- 1684 Foote Avenue Ext
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-9385
- Mailing Country
- US
- Mailing Phone
- (716) 661-9730
- Mailing Fax
- (716) 661-9732
- Practice Street Address
- 1684 Foote Avenue Ext
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-9385
- Practice Country
- US
- Practice Phone
- (716) 661-9730
- Practice Fax
- (716) 661-9732
- Enumeration Date
- June 08, 2005
- Last Updated
- January 15, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 15, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 02366347 (NY), 1290375 (NY, Independent Health Id), 00021051301 (NY, Univera/Excellus), 00021051301 (NY, Rmsco Id), 01664951 (NY), 72679 (NY, The Chautauqua Plan Ids), 040426036267 (NY, Fideliscare New York Id), 161570481 (NY, Federal Tax Id (Comm Ins)), 000524287002 (NY, Bluecross Blueshield Wny)