DR. MUSTAFA A KHAN (NPI# 1861489601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861489601 |
| Entity Type | Individual |
| Full Name | DR. MUSTAFA A KHAN |
| Credential | M.D. |
| Practice Address |
100 Nicolls Rd Stony Brook NY 11794-5151 |
| Mailing Address |
100 Nicolls Road Stony Brook NY 11794 |
| Practice Telephone | (631) 444-8118 |
| Mailing Telephone | (631) 444-8118 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
202568 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 365 Broadway, Kingston, NY 124015151 | 8453315165 | 8453316238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275885147 | Mustafa Khan | Internal Medicine | 7501 E Mcdowell Rd Apt 2087, Scottsdale, AZ 85257-3565 | 2012-10-03 |
| 1104873652 | Mustafa Khan | Orthopaedic Surgery | 1218 W Kilbourn Ave Ste 301, Milwaukee, WI 53233-1325 | 2006-05-30 |
| 1952891509 | Mustafa Khan | Student in an Organized Health Care Education/Training Program | 5 Perryridge Road, Greenwich, CT 06830 | 2018-05-18 |
| 1881191773 | Mustafa Tamim Alam Khan | Student in an Organized Health Care Education/Training Program | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2018-04-09 |
| 1316479942 | Mustafa Ali Khan | Student in an Organized Health Care Education/Training Program | 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 | 2017-04-02 |
| 1710253430 | Mustafa Khan | Physical Medicine & Rehabilitation | 9961 Sierra Ave, Fontana, CA 92335-6720 | 2012-03-27 |
| 1124331582 | Mustafa Sardar Khan | Radiology | 3200 Blue Ridge Rd Ste 100, Raleigh, NC 27612-8087 | 2010-07-14 |
| Street Address |
100 NICOLLS RD |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-5151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356335640 | Laura J Monahan | Pediatrics | 100 Nicolls Rd, Level 11, Suite 040, Stony Brook, NY 11794-8111 | 2005-09-01 |
| 1386250447 | Farhana Zahan | Nurse Practitioner | 100 Nicolls Rd, Stony Brook, NY 11794-3627 | 2020-09-23 |
| 1003433509 | Joseph Anthony Poppa | Physician Assistant | 100 Nicolls Rd, Stony Brook, NY 11794-3112 | 2020-06-30 |
| 1861027393 | Joshua Nuval | Student in an Organized Health Care Education/Training Program | 100 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-03-04 |
| 1548894306 | Matthew Messick | Student in an Organized Health Care Education/Training Program | 100 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-03-02 |
| 1386278133 | Savannah Peters | Student in an Organized Health Care Education/Training Program | 100 Nicolls Rd, Stony Brook, NY 11794-4140 | 2020-03-01 |
| 1750915252 | Hannah Skylar Palau | Student in an Organized Health Care Education/Training Program | 100 Nicolls Rd, Stony Brook, NY 11794-0001 | 2020-02-24 |
| 1609412741 | Thomas Banks | Physician Assistant | 100 Nicolls Rd, Stony Brook, NY 11790-3407 | 2019-11-25 |
| 1164079802 | Jimmy K Master | Psychologist | 100 Nicolls Rd, Stony Brook, NY 11794-0001 | 2019-08-19 |
| 1083278972 | Sara Khan | Student in an Organized Health Care Education/Training Program | 100 Nicolls Rd, Stony Brook, NY 11794-0001 | 2019-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679936256 | Ryan Kyle Jones | Psychiatry & Neurology | Stony Brook Health Sciences Center T 12 020, 101 Nicolls Road, Stony Brook, NY 11794-0001 | 2016-04-01 |
| 1437578127 | Mendelsohn Medical, Pllc | Psychiatry & Neurology | 52 Hillside Rd, Stony Brook, NY 11790-1020 | 2014-04-10 |
| 1932469533 | Yana Krutoshinskaya | Psychiatry & Neurology | 100 Nicolls Rd # Hsc-t12, Stony Brook, NY 11794-1523 | 2012-05-17 |
| 1760757017 | Benjamin Neil Blond | Psychiatry & Neurology | Sbumc Hsc Level 12, Rm 020, Stony Brook, NY 11794-8121 | 2012-03-20 |
| 1083859490 | Lourdes Alicia Bello Espinosa | Psychiatry & Neurology | Stony Brook University Hsc T12 020, Stony Brook, NY 11794-0001 | 2008-12-14 |
| 1659544286 | Dennis W Choi | Psychiatry & Neurology | Health Sciences Center 12 020, Stony Brook University Medical Center, Stony Brook, NY 11794-0001 | 2008-04-03 |
| 1467631176 | Archana Purushotham | Psychiatry & Neurology | Neurology Associates, Stony Brook University Hospital Hsc T12-020, Stony Brook, NY 11794-0001 | 2007-10-30 |
| 1104013325 | Andrew M. Goldfine | Psychiatry & Neurology | Neurology Associates of Stony Brook Ufpc, Sbumc, Hsc Level 12, Rm. 020, Stony Brook, NY 11794-8121 | 2007-10-02 |
| 1326238320 | Nurcan Gursoy | Psychiatry & Neurology | Suny-stony Brook Medical Center, Hsc T12-020, Stony Brook, NY 11794-8121 | 2007-07-26 |
| 1124224118 | Stony Brook University Hospital | Psychiatry & Neurology | Nicolls Road, Hsc T12 Room 020 Stony Brook University Hospital, Stony Brook, NY 11794-8121 | 2007-06-26 |
| Find all providers in STONY BROOK | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.