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.
Source: public NPPES record, last updated January 15, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
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
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Biography
Tariq Khan, MD, is a board-certified pediatrician and founder of Southern Tier Pediatrics in Jamestown. He completed pediatric residency training through the SUNY Health System in Syracuse, has practiced in the Jamestown area since 1996, and serves as medical director for local Pediatric Advanced Life Support courses for area health professionals at UPMC Hospital.
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)