Individual ProviderHussein KhanInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1964 1st Ave Apt 4t, New York, NY 10029-6422(630) 806-4724PECOS EnrollmentBased on the most recent information from CMS, provider Hussein Khan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1023428398Provider TypeIndividualFull NameKhan, HusseinTitleDr.CredentialMDGenderMaleSole ProprietorYesEnumeration Date5/7/2014Last Updated11/30/2018Contact InformationPractice LocationPractice Address1964 1st Ave Apt 4t, New York, NY 10029-6422Phone(630) 806-4724FaxUnlisted FaxMailing LocationMailing Address8 South 231 Dunham Drive, Naperville, IL 60540Phone(630) 806-4724FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense287620New YorkCode282N00000XDescriptionGeneral Acute Care HospitalHospitalsLicenseUnlisted Issuer