Shahab A Khan (NPI# 1962812552, PAC ID# 9739444779) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1962812552 |
| PAC ID by PECOS | 9739444779 |
| Professional Enrollment ID | I20180523000365 |
| Full Name | Shahab A Khan |
| Organization Legal Name | PROHEALTH CARE ASSOCIATES LLP |
| Address |
259 1st St Mineola NY 11501-3957 |
| Phone Number | 5166630333 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4486544186 |
| Number of Group Practice Members | 656 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330141 | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
| 330332 | CHSLI ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 259 1st St, Mineola, NY 11501-3957 | 5166630333 | PROHEALTH CARE ASSOCIATES LLP |
| 101 Hospital Rd, Patchogue, NY 11772-4870 | 6316547100 | COGENT MEDICAL CARE PC |
| 101 Hospital Rd, Patchogue, NY 11772-4870 | SOUND PHYSICIANS OF NEW YORK PLLC |
| Organization Legal Name | PROHEALTH CARE ASSOCIATES LLP |
| Physicians | 676 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dominique Rowe | Physical Therapy | Prohealth Care Associates LLP | 3202 Bainbridge Ave, Apt D, Bronx, NY 10467-3947 |
| Phyllis G Simon-goldman | Pediatric Medicine | Prohealth Care Associates LLP | 270 Union Ave, Holbrook, NY 11741-1823 |
| Jack Baker Renfroe | Physical Therapy | Prohealth Care Associates LLP | 120 W 23rd St, New York, NY 10011-2473 |
| Christie G Mathew | Physical Therapy | Prohealth Care Associates LLP | 70 Maple Ave, Rockville Centre, NY 11570-4225 |
| Leslianne Barabash | Nurse Practitioner | Prohealth Care Associates LLP | 2840 Jerusalem Ave, Wantagh, NY 11793-2017 |
| Susanne Michelle Labarba | Allergy/immunology | Prohealth Care Associates LLP | 2 Lincoln Ave, Suite 201, Rockville Centre, NY 11570-5775 |
| Costantinos Stamboulis | Occupational Therapy | Prohealth Care Associates LLP | 994 W Jericho Tpke, Smithtown, NY 11787-3235 |
| Laura J Sheridan-kelchner | Obstetrics/gynecology | Prohealth Care Associates LLP | 720 Montauk Hwy, West Islip, NY 11795-4411 |
| Veronica Mastrogiacomo | Nurse Practitioner | Prohealth Care Associates LLP | 1610 Williamsbridge Rd, Bronx, NY 10461-6289 |
| Jennifer Olivella | Nurse Practitioner | Prohealth Care Associates LLP | 19616 Hillside Ave, Hollis, NY 11423-2125 |
| Street Address |
259 1ST ST |
| City | MINEOLA |
| State | NY |
| Zip | 11501-3957 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsy Miller | Anesthesiology | Nassau Anesthesia Associates, P.C. | 259 1st St, Mineola, NY 11501-3957 |
| Amita Kundra | Anesthesiology | Nassau Anesthesia Associates, P.C. | 259 1st St, Mineola, NY 11501-3957 |
| Virginia O'connor | Certified Registered Nurse Anesthetist (crna) | Nassau Anesthesia Associates, P.C. | 259 1st St, Mineola, NY 11501-3957 |
| Malwina W Wloch | Anesthesiology | Nassau Anesthesia Associates, P.C. | 259 1st St, Mineola, NY 11501-3957 |
| Maureen T Murphy | Anesthesiology | Nassau Anesthesia Associates, P.C. | 259 1st St, Mineola, NY 11501-3957 |
| James M Cossaro | Anesthesiology | Nassau Anesthesia Associates, P.C. | 259 1st St, Mineola, NY 11501-3957 |
| Anthony V Fernandes | Anesthesiology | Nassau Anesthesia Associates, P.C. | 259 1st St, Mineola, NY 11501-3957 |
| Ronald A Kirzner | Anesthesiology | Nassau Anesthesia Associates, P.C. | 259 1st St, Mineola, NY 11501-3957 |
| Viktor B Smirnov | General Surgery | 259 1st St, Mineola, NY 11501-3957 | |
| Mercylin M Allen | Certified Registered Nurse Anesthetist (crna) | Nassau Anesthesia Associates, P.C. | 259 1st St, Mineola, NY 11501-3957 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Markella Kolitsopoulos | Physician Assistant | Winthrop Medical Affiliates Urgent Care University Faculty Practice C | 222 Station Plaza N, Mineola, NY 11501 |
| Philip Burns | Physical Medicine and Rehabilitation | Garden City Physical Medicine and Rehabilitation PC | 292 A Herricks Rd, Mineola, NY 11501-1103 |
| Richard Mcgraw | Physical Medicine and Rehabilitation | Garden City Physical Medicine and Rehabilitation PC | 292 A Herricks Rd, Mineola, NY 11501-1103 |
| Elizabeth J Foxen | Emergency Medicine | City Medical of Upper East Side Pllc | 292 Herricks Rd, Mineola, NY 11501-1119 |
| Sydney Hughes | Emergency Medicine | City Medical of Upper East Side Pllc | 292 Herricks Rd, Mineola, NY 11501-1119 |
| Tracy L Barilla | Physician Assistant | Winthrop Community Medical Affiliates PC | 297 Mineola Blvd, Mineola, NY 11501-1502 |
| Meghan E Daversa | Physician Assistant | Winthrop Community Medical Affiliates PC | 297 Mineola Blvd, Mineola, NY 11501-1502 |
| Burke A Cunha | Infectious Disease | Winthrop Community Medical Affiliates PC | 297 Mineola Blvd, Mineola, NY 11501-1502 |
| Stephen J Russo | Psychologist, Clinical | 302 Willis Ave, Mineola, NY 11501-1521 | |
| Yaniv N Raich | Physical Therapy | 193 Jericho Tpke, Mineola, NY 11501-1702 | |
| Find all physicians in zip 11501 | |||
| City | MINEOLA |
| Zip Code | 11501 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MINEOLA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Shahab A Khan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.