Individual provider · Type 1 NPI

MD Gulam Muktadir Khan, DO

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

NPI number 1114667409 Active

Practice location

8268 164th St Rm N705
Jamaica, NY 11432-1104

Fax (718) 883-6197

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.

2 other providers at this address

Other student in an organized health care education/training program providers in Jamaica

See all in Jamaica →

About NPI 1114667409

MD Gulam Muktadir Khan, DO's National Provider Identifier is 1114667409, issued on Apr 1, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jamaica, NY. The record was last updated on Apr 1, 2022.