SERAZUL A KHAN MD NPI 1073502019

NPI Information

  • NPI: 1073502019
  • Provider Name: SERAZUL A KHAN, MD
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 30 HARRISON ST
    SUITE 100
    JOHNSON CITY, NY
    ZIP 13790
  • Phone: (607) 763-6850

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NPI Details

Serazul A Khan, MD is a hematology and oncology internal medicine in Johnson City, NY. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Serazul A Khan, MD NPI is 1073502019. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

30 HARRISON ST
SUITE 100
JOHNSON CITY, NY
ZIP 13790-161
Phone: (607) 763-6850
Fax: (607) 798-5194

The NPI 1073502019 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/20/2005 and was last updated on 1/20/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0003XInternal MedicineHematology & Oncology1925931NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CC8935MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
2F70839MEDICARE UPIN
301445303MEDICAIDNEW YORK
44439690001MEDICARE NSCNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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