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

Individual provider Nephrology Physician · NPI 1457683179

Dr. Jaudat H Khan, MD is a Nephrology in Staten Island, New York. Qualified in 2007, 19 years ago. Practices with Staten Island Nephrology PC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2010
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

1366 Victory Blvd
Staten Island, NY 10301-3907
Phone: (718) 273-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 270723 (NY)

Record details

NPI number1457683179
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 5, 2010
Last updated in NPPESDecember 24, 2015

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Staten Island Nephrology Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Staten Island