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

Dr. Khaled Omar Elbanna, MD

Individual provider Family Medicine Physician · NPI 1790733210

Dr. Khaled Omar Elbanna, MD is a General Practice in Astoria, New York. Qualified in 1986, 40 years ago. Practices with My Medical PC, a 89-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
40
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

2543 Steinway St
Astoria, NY 11103
Phone: (718) 706-8060
Fax: (718) 706-8650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 224801-1 (NY)

Record details

NPI number1790733210
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 5, 2006
Last updated in NPPESFebruary 1, 2021
Certification dateFebruary 1, 2021

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice My Medical Pc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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