Individual provider · Type 1 NPI

Maaz Shah Khan, MD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1104672351 Active

Practice location

111 East 210th Street
Bronx, NY 10467

Call (718) 696-2583 Map

Fax (718) 881-5074

Mailing address

12624 Vaquero Court
Rancho Cucamonga, CA 91739

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104672351

Maaz Shah Khan, MD's National Provider Identifier is 1104672351, issued on Apr 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Nov 22, 2024.