MIRZA M ASHRAF & MULAZIM H KHAN NPI 1669490694

NPI Information

NPI: 1669490694
Provider Name: MIRZA M ASHRAF & MULAZIM H KHAN

Doing Business As: PHILADELPHIA MEDICAL CENTER

Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
32787 US RT 11
PHILADELPHIA, NY
ZIP 13673
Phone: (315) 642-0026
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MIRZA M ASHRAF & MULAZIM H KHAN is a medical physician assistant in Philadelphia, NY. MIRZA M ASHRAF & MULAZIM H KHAN NPI is 1669490694. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Philadelphia Medical Center.

The provider's business location address is:

32787 US RT 11
PHILADELPHIA, NY
ZIP 13673
Phone: (315) 642-0026
Fax: (315) 642-1028

The provider's authorized official is Catherine M Murphy .
The authorized official title is Manager and has the following contact phone number (315) 493-1450.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 3/17/2015.

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
1	363AM0700X	Physician Assistant	Medical	003616-1	NEW YORK	Yes

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
1	01188238	MEDICAID	NEW YORK
2	Q24010	MEDICARE UPIN	NEW YORK
3	02568298	MEDICAID	NEW YORK
4	=========	OTHER	NEW YORK	BCBS
5	119064	OTHER	NEW YORK	MVP

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: 5/5/2024

NPI Synchronization or Removal

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