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

Dr. Intazam Uddin Khan, MD

Individual provider Neurology Physician · NPI 1548352594

Dr. Intazam Uddin Khan, MD is a Neurology in Astoria, New York. Qualified in 1987, 39 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
39
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2531 30th Rd Ste 1F
Astoria, NY 11102-2647
Phone: (718) 267-8510
Fax: (718) 267-8511
Show map & directions

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 208065 (NY)

Record details

NPI number1548352594
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 28, 2006
Last updated in NPPESDecember 15, 2011
Mailing address2 Capri Dr, Roslyn, NY 11576-3205

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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