Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Farrukh Mansoor Koraishy, MD, PHD

Individual provider Internal Medicine Physician · NPI 1336108760

Dr. Farrukh Mansoor Koraishy, MD, PHD is a Nephrology in Stony Brook, New York. Qualified in 1999, 27 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan and New York.

Years since qualifying
27
Licensed in
MI, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

101 Nicolls Rd
Stony Brook, NY 11794-0001
Phone: (631) 444-1617
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 79 Middleville Rd, Northport, NY 11768-2296 — (631) 261-4400

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 300229 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301079643 (MI)

Record details

NPI number1336108760
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorYes
NPI enumeratedMarch 23, 2006
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Stony Brook Internists University Faculty Practice Corporation — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Stony Brook