Individual provider · Type 1 NPI

Moazzam Khan, MD

Family Medicine Physician · East Setauket, NY

NPI number 1710680756 Active

Practice location

179 N Belle Mead Rd Ste 3
East Setauket, NY 11733-3528

Call (631) 751-3322 Map

Fax (631) 850-3473

Mailing address

15 Willowood Ln
Coram, NY 11727-1130

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	345352 (NY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

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About NPI 1710680756

Moazzam Khan, MD's National Provider Identifier is 1710680756, issued on Mar 27, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in East Setauket, NY. The record was last updated on Sep 20, 2026.