Provider Demographics
NPI:1538736053
Name:KHAN, TOQEER MUHAMMAD (MD)
Entity type:Individual
Prefix:
First Name:TOQEER MUHAMMAD
Middle Name:
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HOUSE #760, STREET 29, BAHRIA TOWN PHASE 7
Mailing Address - Street 2:
Mailing Address - City:RQWALPINDI
Mailing Address - State:PUNJAB
Mailing Address - Zip Code:46220
Mailing Address - Country:PK
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF INTERNAL MEDICINE, LICOLN MEDICAL CENTER
Practice Address - Street 2:SUITE 8-20, 234 E. 149TH STREET
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451
Practice Address - Country:US
Practice Address - Phone:718-579-5874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-04
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2024-0267207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine