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Alvi Faisal Khan

Internal Medicine

Allopathic & Osteopathic Physicians

4500 Parsons Blvd, Flushing, NY 11355-2205

PECOS Enrollment

This provider is enrolled in PECOS as ALVI KHAN.

Based on the most recent information from CMS, provider Alvi Faisal Khan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1316575194
Provider Type
Individual
Full Name
Khan, Alvi Faisal
Credential
MBBS, MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/29/2020
Last Updated
7/9/2023

Contact Information

Practice Location

4500 Parsons Blvd, Flushing, NY 11355-2205

(718) 670-5939

Unlisted Fax

Mailing Location

4500 Parsons Blvd, Flushing, NY 11355-2205

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD481654 Pennsylvania
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Alvi Faisal Khan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Reuben, Stephen

Shah, Nathubhai C

Persaud, Vishesh Anand

Podval, Marina

Rauhila, Kanwar Singh

Lodha, Sanjay

Sultana, Nigar

Pang, Dorothy Santos

Salus Medical Flushing Pc

Singh, Kabul